Organization
CONNECTICUT BACK CENTER LLC
Active
Organization
CONNECTICUT BACK CENTER LLC
Active
Parent organization
CONNECTICUT BACK CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT BACK CENTER
Authorized official
JESSE EISLER MD (OWNER)
(860) 268-3349
Entity
Organization
Contact information
Practice address
460 HARTFORD TPKE STE B, VERNON, CT 06066-4847
(860) 872-6229
(860) 872-6252
Mailing address
460 HARTFORD TPKE STE B, VERNON, CT 06066-4847
(860) 872-6229
(860) 872-6252
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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