Organization
CHIROPRACTOR DYNAMIC PC
Active
Organization
CHIROPRACTOR DYNAMIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN LAINE DC (PRESIDENT)
(917) 803-3818
Entity
Organization
Contact information
Practice address
7337 FRANKFORD AVE, PHILADELPHIA, PA 19136
(917) 803-3818
Mailing address
6600 LINCOLN DR APT C9, PHILADELPHIA, PA 19119
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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