NPI | 1780088997 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL A. MILLER President 781-762-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MA 535) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2014-10-17 |