Organization
WELLSPRING COMMUNITY ACUPUNCTURE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAE GIBSON M.AC., L.AC., LMT (PRESIDENT/PRIMARY PROVIDER)
(724) 498-6141
Entity
Organization
Contact information
Practice address
318 E JEFFERSON ST, BUTLER, PA 16001-6009
(724) 498-6141
Mailing address
264 GIBSON RD, PARKER, PA 16049-2018
(724) 498-6141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001255
PA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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