Healthcare Provider Details

I. General information

NPI: 1285156547
Provider Name (Legal Business Name): OLVERD CHIROPRACTIC & REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2017
Last Update Date: 07/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ROESSLER RD
PITTSBURGH PA
15220-1004
US

IV. Provider business mailing address

49 ALTADENA DR
PITTSBURGH PA
15228-1001
US

V. Phone/Fax

Practice location:
  • Phone: 412-855-5283
  • Fax:
Mailing address:
  • Phone: 412-855-5283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: PHILIP OLVERD
Title or Position: OWNER
Credential:
Phone: 412-855-5283