| NPI | 1831382183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J. COOLEY Owner 802-773-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2014-03-19 |