TRI-STATE SPORT AND SPINE, PLLC

PHILADELPHIA, PA
NPI1902200876
Entity TypeOrganization
Authorized ContactMICHAEL R DOUGHERTY
President
215-251-8526
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: PA  DC010688)
Enumeration Date2014-10-21
Last Update Date2014-10-21
Business Address
TRI-STATE SPORT AND SPINE, PLLC
9331 OLD BUSTLETON AVE SUITE 101
PHILADELPHIA, PA 19115-4204
Phone number: 215-251-8526
Mailing Address
TRI-STATE SPORT AND SPINE, PLLC
110 WHARTON ST
PHILADELPHIA, PA 19147-5425
Phone number: 215-251-8526
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