Organization
RADIANCE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL GRETZ PISCIOTTANO DC (CLINIC DIRECTOR)
(724) 942-4444
Entity
Organization
Contact information
Practice address
370 SOUTHPOINTE BLVD STE 100, CANONSBURG, PA 15317-8572
(724) 942-4444
(724) 338-4483
Mailing address
370 SOUTHPOINTE BLVD STE 100, CANONSBURG, PA 15317-8572
(724) 942-4444
(724) 338-4483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4148L
PA
111N00000X
Chiropractor
—
—
Other
Enumeration date
09/23/2017
Last updated
05/22/2019
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