Organization
PERFORMANCE HEALTH MODULUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREMAINE E YOUNG D.C. (OWNER / PROVIDER)
(614) 426-3851
Entity
Organization
Contact information
Practice address
5650 N HAMILTON RD, COLUMBUS, OH 43230-1324
(614) 426-3851
(614) 633-1046
Mailing address
5650 N HAMILTON RD, COLUMBUS, OH 43230-1324
(614) 426-3851
(614) 633-1046
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3991
OH
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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