Organization
PROGRESSIVE CHIROPRACTIC & INJURY CTR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GERARD MANNINO D.C. (OWNER)
(814) 474-5588
Entity
Organization
Contact information
Practice address
7686 W RIDGE RD, FAIRVIEW, PA 16415-1074
(814) 474-5588
(814) 474-5589
Mailing address
PO BOX 369, FAIRVIEW, PA 16415-0369
(814) 474-5588
(814) 474-5589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004658L
PA
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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