Breaking Boundaries Wellness Center, Llc

NPI 1043554546 - Chiropractor - 111N00000X

NPI Details
NPI 1043554546
Enumeration Date 11/21/2012
Last Updated 11/21/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TASHA TASHA
Position DR.
Phone (215) 964-9947
Fax (215) 964-9655
Practice Location
836 NORTH 3RD ST.
SUITE 2
PHILADELPHIA PA, 19123, US
Phone (215) 964-9947
Fax (215) 964-9655
Business Location
836 NORTH 3RD ST.
SUITE 2
PHILADELPHIA PA, 19123, US
Phone (215) 964-9947
Fax (215) 964-9655
Toxanomy
Taxonomy Code 111N00000X
License State Pennsylvania
License Number DC010296
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According to our database, Breaking Boundaries Wellness Center, Llc NPI is 1043554546, taxonomy code is 111N00000X and license number is DC010296, license state is located at Pennsylvania. Breaking Boundaries Wellness Center, Llc physically located at 836 North 3rd St., Philadelphia PA, 19123. NPI Number 1033115704 has the healthcare provider type.

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1043554546 NPI number is provided on an as is basis without warranty of any kind. 1043554546 is maintained by the National Plan & Provider Enumeration System. The contents of Breaking Boundaries Wellness Center, Llc are for informational purposes only.