| NPI | 1659460806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMANUEL H BOTELHO President 508-991-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2386) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2462) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |