| NPI | 1245462175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEL K PHILLIP Chiropractic Physician 401-952-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: RI DCP00577) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |