Organization
FAIRMONT CHIROPRACTIC & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ANNUNZIATA (MANAGER)
(856) 275-1325
Entity
Organization
Contact information
Practice address
1600 QUEEN CITY AVE, 2ND FLOOR, CINCINNATI, OH 45214-1600
(513) 471-2225
Mailing address
1600 QUEEN CITY AVE, 2ND FLOOR, CINCINNATI, OH 45214-1600
(513) 471-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC3438
OH
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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