Organization
ACTIVE LIVING CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA D OGDEN D.C. (OWNER/CHIROPRACTOR)
(937) 444-6000
Entity
Organization
Contact information
Practice address
453 W MAIN ST, MOUNT ORAB, OH 45154-8600
(937) 444-6000
Mailing address
453 W MAIN ST, MOUNT ORAB, OH 45154-8600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4218
OH
Other
Enumeration date
12/17/2012
Last updated
01/31/2013
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