Individual
CHANDRA ELIZABETH WISNESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, ATC
Contact information
Practice address
517 WASHINGTON ST, NEWTON, MA 02458-1433
(617) 969-2225
Mailing address
517 WASHINGTON ST, NEWTON, MA 02458-1433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3460
MA
2255A2300X
Athletic Trainer
2591
MA
Other
Enumeration date
05/19/2014
Last updated
02/25/2015
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