NPI Provider: 1104095173
Contact Name: Bovee Beth Laura
Position: General Partner
Phone: (570) 814-5593
Active Performance Chiropractic Information:
Active Performance Chiropractic organization have npi 1104095173, taxonomy code is 111N00000X with license number is DC009871 in . This Business address located in 68 Lee Park Ave, Hanover Township, PA 18706 Pennsylvania.
Address: 68 Lee Park Ave, Hanover Township, PA 18706
Phone: (866) 793-9788
Taxonomy Code: 111N00000X
License Number: DC009871
License Number of State: PA
Primary Taxonomy Switch: Y
Enumeration Date: 2/25/2008
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