Organization
PHILADELPHIA SPINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNALEE OTT (BILLING MANAGER)
(267) 368-5558
Entity
Organization
Contact information
Practice address
5245 GERMANTOWN AVE STE A, PHILADELPHIA, PA 19144-2328
(267) 368-5558
Mailing address
PO BOX 48070, PHILADELPHIA, PA 19144-8070
(267) 368-5558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225400000X
Rehabilitation Practitioner
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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