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Organization
MAXIMUM HEALTH & WELLNESS GLENDALE, LLC
Active
Organization
MAXIMUM HEALTH & WELLNESS GLENDALE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R CARROLL (OFFICE REP)
(352) 942-1204
Entity
Organization
Contact information
Practice address
6545 OTTO RD, GLENDALE, NY 11385-6204
(718) 417-7500
(718) 417-7501
Mailing address
6545 OTTO RD, GLENDALE, NY 11385-6204
(718) 417-7500
(718) 417-7501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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