Individual
DR. HEATHER KELBY GANSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
970 HIGH RIDGE RD, STAMFORD, CT 06905-1601
(203) 979-3142
Mailing address
970 HIGH RIDGE RD, STAMFORD, CT 06905-1601
(203) 979-3142
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
001502
CT
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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