Healthcare Provider Details

I. General information

NPI: 1447528252
Provider Name (Legal Business Name): OXFORD VALLEY CHIROPRACTIC AND SPORTS INJURIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2011
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 PENNS TRL
NEWTOWN PA
18940-1839
US

IV. Provider business mailing address

930 TOWN CENTER DR G50
LANGHORNE PA
19047-3503
US

V. Phone/Fax

Practice location:
  • Phone: 215-968-0326
  • Fax:
Mailing address:
  • Phone: 215-266-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC008840
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberADJ008969
License Number StatePA

VIII. Authorized Official

Name: CHRISTOPHER SEPANSKI
Title or Position: OWNER
Credential: D.C.
Phone: 215-266-2554