Individual
JARRAD RYAN TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7016 TERMINAL SQ, SUITE 10A, UPPER DARBY, PA 19082-2310
(610) 352-1710
(610) 352-1740
Mailing address
7016 TERMINAL SQ, SUITE 10A, UPPER DARBY, PA 19082-2310
(610) 352-1710
(610) 352-1740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007527L
PA
Other
Enumeration date
06/12/2006
Last updated
01/28/2009
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