NPI 1649745803
Neuro Dynamics Penn
Practice location
- Address
- 100 N 18th St STE 300, Philadelphia, PA 19103
- Phone
- (918) 770-9333
- Fax
- (918) 213-4888
- Mailing address
- PO Box 1430 Lockbox #5120, Jenks, OK 74034-1430
Authorised official
- Name
- Jay L Krottinger
- Title
- Coo
- Phone
- (918) 932-2734
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1649745803
- Entity type
- Organization
- NPI issued
- 3 Oct 2018
- Record last updated
- 9 Jan 2019
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.