| NPI | 1760636633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN PORTOLESE Chiropractor/Owner 215-361-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC007023L) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2010-07-20 |