Organization
PROFESSIONAL SPORT & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANE HARDY DC (CHIROPRACTOR/OWNER)
(609) 346-2954
Entity
Organization
Contact information
Practice address
101 ROUTE 130 S- PRESIDENTIAL CENTER, WASHINGTON BLDG SUITE 10, CINNAMINSON, NJ 08077
(609) 346-2954
Mailing address
101 ROUTE 130 S- PRESIDENTIAL CENTER, WASHINGTON BLDG SUITE 10, CINNAMINSON, NJ 08077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00738000
NJ
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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