| NPI | 1578150686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CAMPLESE Owner 781-608-5196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-01-12 |