Organization
OPTIMUM HEALTH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN CUTE (CHIROPRACTOR)
(215) 508-3291
Entity
Organization
Contact information
Practice address
8945 RIDGE AVE, SUITE 2, PHILADELPHIA, PA 19128-2036
(205) 508-3291
(205) 508-3022
Mailing address
8945 RIDGE AVE, SUITE 2, PHILADELPHIA, PA 19128-2036
(205) 508-3291
(205) 508-3022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006969L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073300000
KEYSTONE PROVIDER NUMBER
PA
01
—
747769
PERSONAL CHOICE PROVIDER
PA
Enumeration date
04/03/2007
Last updated
04/20/2008
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