NPI | 1336175918 |
---|---|
Doing Business As | ADVANCED WELLNESS CENTER OF PA |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER VAILL WALCOTT President 215-493-1590 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC007908L) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2008-01-28 |