| NPI | 1538773023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA CONNOLLY Director Of Business Development 617-568-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-11-10 |