Reverse Time Wellness INC
NPI #1003611187 in Stamford, Connecticut
Provider Information
- NPI Number
- 1003611187
- Entity Type
- Organization
- Organization Name
- Reverse Time Wellness INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 13, 2025
- Last Updated
- Apr 8, 2025
Practice Location
- Address
- 1086 LONG RIDGE RD
- City
- Stamford
- State
- Connecticut
- ZIP Code
- 06903-4404
- Phone
- (203) 274-7426
Authorized Official
- Name
- NEISHELLE WALCOTT, PA
- Title
- PRESIDENT
- Phone
- (203) 274-7426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine - Emergency Medical Services — Emergency Medical Services |
| Family Medicine |
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