Organization
REVIVE CHIROPRACTIC AND REHABLILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESTON MULLENS (OWNER)
(724) 382-5576
Entity
Organization
Contact information
Practice address
12875 ROUTE 30, SUITE 25, NORTH HUNTINGDON, PA 15642-2595
(724) 383-5576
Mailing address
12875 ROUTE 30, SUITE 25, NORTH HUNTINGDON, PA 15642-2595
(724) 383-5576
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010524
PA
Other
Enumeration date
05/17/2013
Last updated
06/17/2013
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