Organization
BACK IN LINE CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE BARBARA JENSEN D.C. (PRESIDENT)
(267) 374-8788
Entity
Organization
Contact information
Practice address
1642 ROUTE 309, QUAKERTOWN, PA 18951-1805
(267) 374-8788
Mailing address
684 CORNERSTONE DR, MOHRSVILLE, PA 19541-9256
(267) 374-8788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009700
PA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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