North Wales Family Chiropractic, LLC
Chiropractor in Lansdale, PA. Organization (NPI-2).
NPI number1760636633
StatusActive
Last updated in NPPESJul 20, 2010
Details
- NPI
- 1760636633
- Entity type
- Organization (NPI-2)
- Legal business name
- North Wales Family Chiropractic, LLC
- Organization subpart
- No
- Enumeration date
- Nov 5, 2008
- Last updated
- Jul 20, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC007023L | PA | Yes |
Other names
- Portolese Family Chiropractic (Doing Business As)
Practice location
490 Pennbrook PkwyLansdale, PA 19446-3818
Phone 215-361-6130 · Fax 215-361-7860
Mailing address
490 Pennbrook PkwyLansdale, PA 19446-3818
Phone 215-361-6130 · Fax 215-361-7860
Authorized official
Tammy Lynn Portolese
Chiropractor/Owner
2153616130
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