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Organization
BACK ON TRACK CHIROPRACTIC LLC
Active
Organization
BACK ON TRACK CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA ANN CONNELLY DC (CHIROPRACTOR)
(860) 919-1869
Entity
Organization
Contact information
Practice address
98 WHITING ST, UNIT C, PLAINVILLE, CT 06062-2881
(860) 919-1869
Mailing address
98 WHITING ST, UNIT C, PLAINVILLE, CT 06062-2881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001924
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528315637
NPI
CT
01
—
D400077805
MEDICARE PTAN
CT
Enumeration date
02/23/2015
Last updated
02/23/2015
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