Organization
BREAKING BOUNDARIES WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA POWELL (DR.)
(215) 964-9947
Entity
Organization
Contact information
Practice address
836 NORTH 3RD ST., SUITE 2, PHILADELPHIA, PA 19123
(215) 964-9947
(215) 964-9655
Mailing address
836 NORTH 3RD ST., SUITE 2, PHILADELPHIA, PA 19123
(215) 964-9947
(215) 964-9655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010296
PA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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