Organization
BOUMA CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE BOUMA D.C. (PRESIDENT)
(724) 465-4080
Entity
Organization
Contact information
Practice address
102 CHRISTY PARK DR, INDIANA, PA 15701-1584
(724) 465-4080
(724) 465-6923
Mailing address
102 CHRISTY PARK DR, INDIANA, PA 15701-1584
(724) 465-4080
(724) 465-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001387L
PA
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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