Organization
PERFORMANCE SPORTS AND SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEONARD D.C. (OWNER)
(330) 233-1273
Entity
Organization
Contact information
Practice address
167 S STATE ST STE 190, WESTERVILLE, OH 43081-2282
(330) 233-1273
Mailing address
167 S STATE ST STE 190, WESTERVILLE, OH 43081-2282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4149
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3130427
—
OH
Enumeration date
04/18/2012
Last updated
04/18/2012
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