Chiropractic Spine Center IV
NPI #1063469740 in Wayne, Pennsylvania
Provider Information
- NPI Number
- 1063469740
- Entity Type
- Organization
- Organization Name
- Chiropractic Spine Center IV
- Primary Specialty
- Chiropractor - Rehabilitation
- Enumeration Date
- May 28, 2006
- Last Updated
- Jun 14, 2016
Practice Location
- Address
- 744 W LANCASTER AVE
- Address 2
- SUITE 105
- City
- Wayne
- State
- Pennsylvania
- ZIP Code
- 19087-2523
- Phone
- (610) 254-8200
Authorized Official
- Name
- DR. THEODORE GLAZER, D.C.
- Title
- PRESIDENT
- Phone
- (610) 254-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Chiropractor - Rehabilitation — Rehabilitation |
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