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Organization
SPORT AND SPINE CHIROPRACTIC REHAB
Active
Organization
SPORT AND SPINE CHIROPRACTIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MADIGAN D.C. (PRESIDENT)
(570) 858-5645
Entity
Organization
Contact information
Practice address
8 N GROVE ST, SUITE B, LOCK HAVEN, PA 17745-3547
(570) 858-5645
(570) 858-5687
Mailing address
8 N GROVE ST, SUITE B, LOCK HAVEN, PA 17745-3547
(570) 858-5645
(570) 858-5687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009059
PA
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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