| NPI | 1699477034 |
|---|---|
| Doing Business As | BACK BAY CHIROPRACTIC & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DELANIE SHEA Account Manager 570-460-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-04-10 |