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Organization

INDIAN HARBOR CHIROPRACTIC ASSOCIATES LLC

Active
Other names
Indian Harbor Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANA B GAILES (OWNER)
(203) 273-2674
Entity
Organization

Contact information

Practice address
49 LAKE AVE STE 1E, GREENWICH, CT 06830-4519
(203) 983-5426
(203) 622-8228
Mailing address
49 LAKE AVE STE 1E, GREENWICH, CT 06830-4519
(203) 983-5426
(203) 622-8228

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001928
CT CHIROPRACTOR LICENSE NUMBER
CT
01
DCP00461
RI LICENSE NUMBER
RI
Enumeration date
11/21/2018
Last updated
09/02/2025
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