| NPI | 1316488927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY A WILLIAMS Member, Duly Authorized 203-966-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT CT001042) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CT CT001042) |
| 111NN1001X Chiropractor, Nutrition (Licence: CT CT001042) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |