| NPI | 1134297732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J KUDEJ Owner 203-878-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |