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Contact Information

WATERTOWN WELLNESS CENTER LLC
116 GEORGETOWN DRIVE
WATERTOWN, CT06795
 Phone: 203-592-7898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for WATERTOWN WELLNESS CENTER LLC · (Female)

NPI Number 1396232187
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2018
Last updated 04/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 003013
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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