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Organization
PERFORMANCE SPORTS AND SPINE CENTER, LLC
Active
Organization
PERFORMANCE SPORTS AND SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEONARD D.C. (OWNER)
(330) 233-1273
Entity
Organization
Contact information
Practice address
167 S STATE ST STE 190, WESTERVILLE, OH 43081-2282
(330) 233-1273
Mailing address
167 S STATE ST STE 190, WESTERVILLE, OH 43081-2282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3130427
—
OH
Enumeration date
04/18/2012
Last updated
04/18/2012
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