| NPI | 1730457045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER QUIGLEY Director 617-720-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1537) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 702) |
| 225100000X Physical Therapist (Licence: MA 18287) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |