Dynutrix, LLC

NPI #1699179341 in Norwalk, Connecticut

Provider Information

NPI Number: 1699179341
Entity Type: Organization
Organization Name: Dynutrix, LLC
Primary Specialty: Specialist
Enumeration Date: Oct 9, 2014
Last Updated: Oct 9, 2014

Practice Location

Address: 19 SILK ST
City: Norwalk
State: Connecticut
ZIP Code: 06850-2916
Phone: (203) 962-2995

Authorized Official

Name: DR. BEVERLY P JACKSON, Ň.D
Title: PRESIDENT
Phone: (203) 962-2995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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