Organization
WEST HILL SPINE AND SPORTS THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE J LEVESQUE D.C. (CHIROPRACTOR)
(617) 594-9372
Entity
Organization
Contact information
Practice address
852 PROSPECT ST, PLANTSVILLE, CT 06479-1011
(617) 594-9372
Mailing address
1 KLARIDES VILLAGE DR, SEYMOUR, CT 06483-2737
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
001849
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194030569
NPI
CT
Enumeration date
09/17/2010
Last updated
09/17/2010
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