Organization
ENERGETIC SPINE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ANDERSON (DOCTOR OF CHIROPRACTIC)
(301) 247-3973
Entity
Organization
Contact information
Practice address
1271 SOUTH BROAD ST., UNIT #11, WALLINGFORD, CT 06492
(301) 247-3973
Mailing address
72 NEW CHESHIRE RD, MERIDEN, CT 06451-5072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001934
CT
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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