Organization
ADVNATAGE CHIROPRACTIC AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D HEVERIN (MANAGER)
(215) 579-7374
Entity
Organization
Contact information
Practice address
8400 ROOSEVELT BLVD, SUITE 208, PHILADELPHIA, PA 19152-2012
(215) 333-6160
(215) 333-6140
Mailing address
PO BOX 22342, PHILADELPHIA, PA 19110-2342
(215) 333-6160
(215) 333-6140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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