Organization
CHIROPRACTIC HEALTH CENTER OF WILTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE JONATHON BOERNER PT OR RPT (STAFF PHYSICAL THERAPIST)
(203) 834-1515
Entity
Organization
Contact information
Practice address
126 PIMPEWAUG RD, WILTON, CT 06897
(203) 834-1515
(203) 762-7210
Mailing address
126 OLD RIDGEFIELD RD, WILTON, CT 06897
(203) 834-1515
(203) 762-7210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/10/2008
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