| 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 |