NPI | 1487436929 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL D WADDINGTON Managing Member 860-729-4862 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2023-10-19 |
Last Update Date | 2023-10-19 |