| NPI | 1225010192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J REIDA President 508-394-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 276) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-03-11 |