| NPI | 1346577277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA SANDY NOWAK Director 860-824-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001818) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00629800) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2023-03-13 |