NPI | 1578800579 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY A LAVORGNA Member/Manager 203-562-0656 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: CT 001202) |
Enumeration Date | 2013-01-10 |
Last Update Date | 2013-02-22 |