Organization
WATERBURY CHIROPRACTIC OFFICE LLC
Active
Other names
Active Life Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FUSCO (MANAGER)
(203) 573-8577
Entity
Organization
Contact information
Practice address
255 ROBBINS ST, WATERBURY, CT 06708-2762
(203) 573-8577
Mailing address
255 ROBBINS ST, WATERBURY, CT 06708-2762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
001584
CT
111N00000X
Chiropractor
Primary
00196
CT
Other
Enumeration date
04/24/2015
Last updated
05/25/2021
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