| NPI | 1912081688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA BETH GREENE Partner 860-233-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001485) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001389) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |