NPI | 1609828862 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS RICHARD DE VITA President 978-263-9336 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 3001) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 386) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2020-05-06 |