| NPI | 1730204710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A. MILLER President 781-762-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MA 355) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-04-27 |