NPI | 1417051525 |
---|---|
Former Legal Business Name | BROADWAY FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | MARGIE L DOWNES Pres 508-824-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1651) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2020-08-22 |