| NPI | 1699847889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE BRODERICK Owner 978-452-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2553) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2696) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |