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NPI Code Detail

MEDICARE: ELITE CHIROPRACTIC & REHABILITATION, PLLC

MEDICARE: ELITE CHIROPRACTIC & REHABILITATION, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician
2261QM2500XMedical Specialty Clinic/Center
3111N00000XChiropractor

General Provider Information

NPI Number : 1871172999
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE CHIROPRACTIC & REHABILITATION, PLLC
Provider Business Mailing Address
First Line : PO BOX 20007
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-0307
Country : US
Telephone Number : 267-846-2600
Fax Number : 267-846-2600
Provider Business Practice Location Address
First Line : 3310 S 20TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-5764
Country : US
Telephone Number : 267-846-2600
Fax Number : 267-846-2600
Authorized Official
Title or Position : OWNER
Name : BRITTANY V TOOLE
Credential :
Telephone Number : 267-846-2600
Provider Enumeration Date : 04/06/2021
Last Update Date : 06/10/2021

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Directions to “ELITE CHIROPRACTIC & REHABILITATION, PLLC ” Practice Location

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