Individual
GREGORY R TICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
104 FORREST AVE, NARBERTH, PA 19072-2215
(610) 667-8412
(610) 667-8413
Mailing address
104 FORREST AVE, NARBERTH, PA 19072-2215
(610) 667-8412
(610) 667-8413
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006360L
PA
Other
Enumeration date
10/23/2006
Last updated
08/07/2009
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