| NPI | 1891026878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L JOHNSTON Owner 203-438-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CT 000523) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2012-09-06 |