| NPI | 1275818015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA MCKAY President 203-656-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 900) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 0900) |
| 225100000X Physical Therapist (Licence: CT 004998) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2021-11-10 |