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Organization
OPTIMAL WELLNESSCARE, INC
Active
Organization
OPTIMAL WELLNESSCARE, INC
Active
Other names
Lovers Lane Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN TISKO (OWNER/ADMINISTRATOR)
(214) 351-2481
Entity
Organization
Contact information
Practice address
5600 W LOVERS LN, STE. 326, DALLAS, TX 75209-4330
(214) 351-2481
Mailing address
5600 W LOVERS LN, STE. 326, DALLAS, TX 75209-4330
(214) 351-2481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F006293
TX
Other
Enumeration date
06/14/2006
Last updated
08/22/2020
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