| NPI | 1184797375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C MEDEIROS Manager 508-984-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MA 348) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-07-03 |