Individual
JACOB RORICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1706 GOLDEN MILE RD, TOWANDA, PA 18848-9733
(607) 215-6191
Mailing address
1706 GOLDEN MILE RD, TOWANDA, PA 18848-9733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
70 012135
NY
111N00000X
Chiropractor
Primary
DC011200
PA
Other
Enumeration date
02/08/2011
Last updated
11/18/2016
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