| NPI | 1902810773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DEMAREST Owner/Administrator/Chiropractor 860-296-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001360) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |