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Organization
MODERN SPINE HEALTH AND INJURY CARE LLC
Active
Organization
MODERN SPINE HEALTH AND INJURY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILSON DC (OWNER)
(203) 794-4685
Entity
Organization
Contact information
Practice address
2 STONY HILL RD STE 207, BETHEL, CT 06801-1045
(203) 794-4685
(203) 870-3321
Mailing address
2 STONY HILL RD STE 207, BETHEL, CT 06801-1045
(203) 394-2410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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