Organization
CHIROPRACTIC & MASSAGE OF NORTH PORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WALLEN (OWNER/CHIROPRACTOR)
(815) 545-6307
Entity
Organization
Contact information
Practice address
14942 TAMIAMI TRL STE L, NORTH PORT, FL 34287-2705
(815) 545-6307
Mailing address
14942 TAMIAMI TRL STE L, NORTH PORT, FL 34287-2705
(941) 564-8083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11389
FL
Other
Enumeration date
06/21/2017
Last updated
11/20/2017
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