| NPI | 1710138912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDVIK GUDMUNDSSON Owner 508-675-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 594) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: MA 594) |
| 111NX0800X Chiropractor, Orthopedic (Licence: MA 594) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |