# CARBONE CHIROPRACTIC CENTER DBA SOUTHSIDE PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARBONE CHIROPRACTIC CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235558461
- **Legal business name:** CARBONE CHIROPRACTIC CENTER LLC
- **Authorized official:** GUY CARBONE DC (OWNER)
- **Authorized official phone:** (860) 748-9090

## Contact information

- **Practice address:** 82-86 WOLCOTT HILL RD, SUITE 102, WETHERSFIELD, CT 06109-1252
- **Practice address phone:** (860) 436-3151
- **Practice address fax:** (860) 436-3277
- **Mailing address:** 82-86 WOLCOTT HILL RD, SUITE 102, WETHERSFIELD, CT 06109-1252
- **Mailing address phone:** (860) 436-3151
- **Mailing address fax:** (860) 436-3277

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 01/26/2021