Organization
LIFE CLINIC OF CT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ALIZADEH (PRESIDENT)
(612) 868-6894
Entity
Organization
Contact information
Practice address
130 TRESSER BLVD, STAMFORD, CT 06901-3399
(612) 868-6894
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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