Vanessa Leigh Koutalidis DC

NPI 1710051719 - Chiropractor - 111N00000X

NPI Details
NPI 1710051719
Gender Female
Enumeration Date 11/20/2006
Last Updated 06/21/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1749 NE 26TH STREET
SUITE F
WILTON MANORS FL, 33305, US
Phone (954) 566-1349
Fax (954) 566-1385
Business Location
1749 NE 26TH STREET
SUITE F
WILTON MANORS FL, 33305, US
Phone (954) 566-1349
Fax (954) 566-1385
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH7318
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According to our database, Dr. Vanessa Leigh Koutalidis DC NPI is 1710051719, taxonomy code is 111N00000X and license number is CH7318, license state is located at Florida. Vanessa Leigh Koutalidis DC physically located at 1749 Ne 26th Street, Wilton Manors FL, 33305. NPI Number Vanessa Leigh Koutalidis DC has the Individual type.

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1710051719 NPI number is provided on an as is basis without warranty of any kind. 1710051719 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Leigh Koutalidis DC are for informational purposes only.