| NPI | 1316117591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ANN CORCORAN Owner 508-339-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MA 2824) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |