| NPI | 1164771424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE BENNETT Chiropractor 203-793-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 001858) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2012-09-02 |