| Dynamic Balance Wellness, L.l.c | |
|
150 Hazard Ave Ste C7, Enfield, CT 06082-4587 | |
| (860) 749-4148 | |
| (860) 749-4241 |
| Full Name | Dynamic Balance Wellness, L.l.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 150 Hazard Ave Ste C7, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881827947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 01590 (Connecticut) | Primary |
| 171100000X | Acupuncturist | 000329 (Connecticut) | Secondary |
| Provider Name | Ya Ling Lo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265606511 PECOS PAC ID: 2961467915 Enrollment ID: I20041201000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Balance Wellness, L.l.c 150 Hazard Ave Ste C7, Enfield, CT 06082-4587 Ph: (860) 749-4148 | Dynamic Balance Wellness, L.l.c 150 Hazard Ave Ste C7, Enfield, CT 06082-4587 Ph: (860) 749-4148 |
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