| NPI | 1770505273 |
|---|---|
| Other Name | CHARLES STREET FAMILY CHIROPRACTIC & PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIANA CELESIA Office Manager 617-720-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 222) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-11-08 |