| NPI | 1114165487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DAMATO Owner 860-436-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001424) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2022-04-05 |