| NPI | 1427294917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW W FITZSIMONS Owner/Member 860-659-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1050) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 892) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |