| NPI | 1306065248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P GREGORY Owner Manager 860-644-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 011490) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CT 001133) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |