| NPI | 1528087749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE IMOSSI President/Director 860-828-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CT 000759) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |