| NPI | 1518914639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J KUDEJ Owner 203-878-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1033) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 00764) |
| 225100000X Physical Therapist (Licence: CT 002136) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |