Organization
ACTIVE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY MICHELLE LOWE (OFFICE MANAGER)
(215) 464-7700
Entity
Organization
Contact information
Practice address
1916 WELSH RD, 6, PHILADELPHIA, PA 19115-4655
(215) 464-7700
(215) 464-7703
Mailing address
1916 WELSH RD, 6, PHILADELPHIA, PA 19115-4655
(215) 464-7700
(215) 464-7703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-004073L
PA
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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