Organization
HENDERSON FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER HENDERSON JR. D.C. (DOCTOR/OWNER)
(860) 828-8220
Entity
Organization
Contact information
Practice address
1097 FARMINGTON AVE, BERLIN, CT 06037-2241
(860) 828-8220
(860) 828-8220
Mailing address
1097 FARMINGTON AVE, BERLIN, CT 06037-2241
(860) 828-8220
(860) 828-8220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001443
CT
Other
Enumeration date
05/16/2011
Last updated
06/09/2011
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