Organization
GAULT WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DALE GAULT D.C. (OWNER)
(717) 657-1620
Entity
Organization
Contact information
Practice address
2209 FOREST HILLS DR, SUITE 22, HARRISBURG, PA 17112-1095
(717) 657-1620
(717) 540-1540
Mailing address
2209 FOREST HILLS DR, SUITE 22, HARRISBURG, PA 17112-1095
(717) 657-1620
(717) 540-1540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002510L
PA
Other
Enumeration date
05/02/2010
Last updated
05/02/2010
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