| NPI | 1659454908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL I CLIONSKY CEO Manager Of The LLC 413-734-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |