| NPI | 1851713671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LANGE Owne 413-582-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: MA 2720) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |