Vitasource Chiropractic & Rehabilitation LLC
NPI #1003257031 in Elkins Park, Pennsylvania
Provider Information
- NPI Number
- 1003257031
- Entity Type
- Organization
- Organization Name
- Vitasource Chiropractic & Rehabilitation LLC
- Primary Specialty
- Chiropractor - Occupational Health
- Enumeration Date
- Jul 5, 2013
- Last Updated
- Jul 5, 2013
Practice Location
- Address
- 1831 W CHELTENHAM AVE
- City
- Elkins Park
- State
- Pennsylvania
- ZIP Code
- 19027-1049
- Phone
- (215) 276-2250
Authorized Official
- Name
- DR. JEAN HAROLD FONTAINE, D.C.
- Title
- DOCTOR OF CHIROPRACTIC
- Phone
- (215) 276-2250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Occupational Health — Occupational Health |
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