Organization
ITKIN CHIROPRACTIC PC
Active
Other names
Northeast Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA ITKIN DC (PRESIDENT)
(215) 676-3236
Entity
Organization
Contact information
Practice address
14425 BUSTLETON AVE, SUITE 101, PHILADELPHIA, PA 19116
(215) 676-3236
(215) 676-4275
Mailing address
14425 BUSTLETON AVE, SUITE #101, PHILADELPHIA, PA 19116
(215) 676-3236
(215) 676-4275
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01530727
—
PA
Enumeration date
12/26/2006
Last updated
06/20/2017
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