Organization
DYNAMIC BALANCE WELLNESS, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KELLY LA.C. (OWNER)
(860) 749-4148
Entity
Organization
Contact information
Practice address
150 HAZARD AVE STE C7, ENFIELD, CT 06082-4587
(860) 749-4148
(860) 749-4241
Mailing address
150 HAZARD AVE STE C7, ENFIELD, CT 06082-4587
(860) 749-4148
(860) 749-4241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01590
CT
171100000X
Acupuncturist
000329
CT
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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