Organization
OPTIMAL PERFORMANCE CHIROPRACTIC, LLC
Active
Other names
Optimal Performance Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA N GOGEL D.C. (OWNER)
(812) 684-0095
Entity
Organization
Contact information
Practice address
703 N MAIN ST, HUNTINGBURG, IN 47542-1045
(812) 684-0095
(812) 684-0096
Mailing address
703 N MAIN ST, HUNTINGBURG, IN 47542-1045
(812) 684-0095
(812) 684-0096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002600A
IN
Other
Enumeration date
12/20/2011
Last updated
02/04/2014
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