| NPI | 1336435940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT A LOGAN Owner/Manager 603-591-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NH 117) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MA 2693) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2013-02-20 |