| NPI | 1700952322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C MEDEIROS Manager 508-996-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MA 350) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 305) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 34550) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-07-03 |