NPI | 1518101328 |
---|---|
Doing Business As | CHIROMARK OF GLASTONBURY |
Entity Type | Organization |
Authorized Contact | CHRISTIAN CHARLES REILLY Co Owner 860-430-9116 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CT CT01479) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2014-10-14 |