Individual
CHRISTINA ANN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
16 APPLE TREE RD, BETHEL, CT 06801-1333
(203) 470-5332
Mailing address
16 APPLE TREE RD, BETHEL, CT 06801-1333
(203) 470-5332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2142
CT
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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