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Organization
WATERBURY CHIROPRACTIC OFFICE LLC
Active
Organization
WATERBURY CHIROPRACTIC OFFICE LLC
Active
Other names
Active Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FUSCO (MANAGER)
(203) 573-8577
Entity
Organization
Contact information
Practice address
255 ROBBINS ST, WATERBURY, CT 06708-2762
(203) 573-8577
Mailing address
255 ROBBINS ST, WATERBURY, CT 06708-2762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001584
CT
111N00000X
Chiropractor
Primary
00196
CT
Other
Enumeration date
04/24/2015
Last updated
05/25/2021
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