Organization
FUNCTIONAL HEALTH CENTER LLC
Active
Other names
Nictrition
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE H SCHILLINGER RD, LDN (OWNER, REGISTERED DIETITIAN)
(215) 888-0170
Entity
Organization
Contact information
Practice address
1143 HAGUES MILL RD, AMBLER, PA 19002-6000
(215) 888-0170
Mailing address
1143 HAGUES MILL RD, AMBLER, PA 19002-6000
(215) 888-0170
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922765
PA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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