# FULL POTENTIAL CHIROPRACTIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144418427
- **Authorized official:** DR. ANGELA GAMBALE OBRIEN DC (PRESIDENT)
- **Authorized official phone:** (781) 593-2388

## Contact information

- **Practice address:** 186 BURRILL ST, SWAMPSCOTT, MA 01907-1835
- **Practice address phone:** (781) 593-2388
- **Practice address fax:** (781) 593-2399
- **Mailing address:** 186 BURRILL ST, SWAMPSCOTT, MA 01907-1835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 04/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Y35625 | MEDICARE LEGACY NUMBER | MA |