is a Chiropractor in Philadelphia, Pennsylvania. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1912164682. The last update date is .
's current location address is 6777 N 5th St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156877030 and fax number 2152761692. The mailing address for is 6777 N 5th St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6777 N 5th St, Philadelphia, Pennsylvania |
| Phone Number | 2156877030 |
| Fax Number | 2152761692 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1912164682 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6777 N 5th St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191263027 |
| Phone Number | 2156877030 |
| Fax Number | 2152761692 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC009108 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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