# OSTEOPATHIC WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1891026878
- **Authorized official:** DR. DAVID L JOHNSTON DO (OWNER)
- **Authorized official phone:** (203) 438-9915

## Contact information

- **Practice address:** 158 DANBURY RD, SUITE 6, RIDGEFIELD, CT 06877-3227
- **Practice address phone:** (203) 438-9915
- **Practice address fax:** (203) 431-4414
- **Mailing address:** 158 DANBURY RD, SUITE 6, RIDGEFIELD, CT 06877-3227
- **Mailing address phone:** (203) 438-9915
- **Mailing address fax:** (203) 431-4414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 000523 | CT | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 09/06/2012
