| NPI | 1467980771 |
|---|---|
| Doing Business As | CONNETQUOT PTDC |
| Entity Type | Organization |
| Authorized Contact | JACK TESORIERO Owner/Chiropractor 631-738-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |