Organization
FAMILY TREE CHIROPRACTIC MT JOY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN S BRYSON CSA, CLTC, CPL (CEO)
(717) 808-4484
Entity
Organization
Contact information
Practice address
1013 W MAIN ST STE 1, MOUNT JOY, PA 17552-9699
(717) 808-4484
Mailing address
1013 W MAIN ST STE 1, MOUNT JOY, PA 17552-9699
(717) 808-4484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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