NPI 1003631128

Active Care Manayunk

Organisation Chiropractor Philadelphia, PA

Practice location

Address: 4368 Cresson St, Philadelphia, PA 19127-1460
Phone: (215) 617-9719
Fax: (215) 827-5606
Mailing address: 414 Randall Rd, Wyncote, PA 19095-2106

Authorised official

Name: Maya Wilson
Title: Manager
Phone: (215) 595-3946

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1003631128
Entity type: Organization
NPI issued: 22 Nov 2024
Record last updated: 22 Nov 2024

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.