NPI 1003257031

Vitasource Chiropractic & Rehabilitation LLC

Organisation Occupational Health Chiropractor Elkins Park, PA

Practice location

Address: 1831 W Cheltenham Ave, Elkins Park, PA 19027-1049
Phone: (215) 276-2250
Fax: (215) 276-2110

Authorised official

Name: Jean Harold Fontaine
Title: Doctor of Chiropractic
Phone: (215) 276-2250

Registered specialties

Occupational Health Chiropractor Primary

Chiropractic Providers Taxonomy 111NX0100X Licence DC010306 (PA)

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Registry record

NPI: 1003257031
Entity type: Organization
NPI issued: 5 Jul 2013
Record last updated: 5 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.