| NPI | 1376945147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M SAMUEL Registered Agent 802-318-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0001179) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-10-24 |