Organization
INFINITE POTENTIAL CENTERS FOR HEALING, INC.
Active
Other names
Infinite Potential Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MANCUSO RD, DC, FICPA (PRESIDENT)
(480) 219-4439
Entity
Organization
Contact information
Practice address
6124 E DELCOA AVE, SCOTTSDALE, AZ 85254-3823
(480) 219-4439
(480) 219-4569
Mailing address
6124 E DELCOA AVE, SCOTTSDALE, AZ 85254-3823
(480) 219-4439
(480) 219-4569
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
5988
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0941110
BCBS
AZ
Enumeration date
03/06/2008
Last updated
06/19/2012
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