Organization · NPI-2

Active Care Manayunk

Chiropractor · Philadelphia, PA

NPI number1003631128
StatusActive
Last updated in NPPESNov 22, 2024

Details

NPI
1003631128
Entity type
Organization (NPI-2)
Legal business name
Active Care Manayunk
Organization subpart
No
Enumeration date
Nov 22, 2024
Certification date
Nov 22, 2024
Last updated
Nov 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor––Yes

Practice location

4368 Cresson St
Philadelphia, PA 19127-1460

Phone 215-617-9719 · Fax 215-827-5606

Mailing address

414 Randall Rd
Wyncote, PA 19095-2106

Phone 610-216-3277 · Fax 215-827-5606

Authorized official

Maya Wilson
Manager
2155953946

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