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Organization
RIVERSIDE REHAB, INC.
Active
Organization
RIVERSIDE REHAB, INC.
Active
Other names
Riverside Chiropractic & Physical Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BODOF D.C. (OWNER)
(215) 291-1578
Entity
Organization
Contact information
Practice address
200 E GIRARD AVE, PHILA, PA 19125-3917
(215) 291-1578
(215) 291-4262
Mailing address
200 E GIRARD AVE, PHILA, PA 19125-3917
(215) 291-1578
(215) 291-4262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006859L
PA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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