| NPI | 1720685118 |
|---|---|
| Other Name | CHARLESTIN CHIROPRACTIC GROUP |
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHARLESTIN Clinical Director 203-526-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-12-10 |