| NPI | 1629272638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY BRUNNER Owner 508-435-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2355) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2351) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-10-15 |