| NPI | 1477614519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A GREEN Owner 860-537-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001023) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI 0CP00506) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |