| NPI | 1346311289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE M WILNER Chiropractor Owner 203-929-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 000862) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CT 000862) |
| 225700000X Massage Therapist (Licence: CT 000862) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |