NPI | 1356746945 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD LEE NODINE Chiropractor 860-236-1752 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CT 1031) |
Enumeration Date | 2014-10-26 |
Last Update Date | 2014-10-26 |