# CHIROPRACTIC HEALTH CENTER OF WILTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023155009
- **Authorized official:** MR. LANCE JONATHON BOERNER PT OR RPT (STAFF PHYSICAL THERAPIST)
- **Authorized official phone:** (203) 834-1515

## Contact information

- **Practice address:** 126 PIMPEWAUG RD, WILTON, CT 06897
- **Practice address phone:** (203) 834-1515
- **Practice address fax:** (203) 762-7210
- **Mailing address:** 126 OLD RIDGEFIELD RD, WILTON, CT 06897
- **Mailing address phone:** (203) 834-1515
- **Mailing address fax:** (203) 762-7210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 07/10/2008