| NPI | 1285184655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIL CHIMES Partner 203-531-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CT 1228) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CT 1957) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CT 1883) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: CT 1685) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2017-04-14 |