| NPI | 1417466087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SPADAFORA Practice Coordinator 781-933-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 489) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |