| NPI | 1114533429 |
|---|---|
| Former Legal Business Name | ACTIVE CHIRO LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY SIMEOLI Owner 203-928-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2023-07-31 |