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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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