| NPI | 1972551307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARAH WATSON Billing Specialist 508-675-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 1919) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-03-20 |