| NPI | 1225466741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R VIVEIROS Manager 508-837-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |