Organization
HEALTHSOURCE OF JOHNSTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI WALTER (OWNER/DOCTOR)
(814) 288-2288
Entity
Organization
Contact information
Practice address
1228 SCALP AVE, JOHNSTOWN, PA 15904-3136
(814) 288-2288
Mailing address
1228 SCALP AVE, JOHNSTOWN, PA 15904-3136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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