Olde Towne Wellness LLC

NPI #1144388315 in Petersburg, Virginia

Provider Information

NPI Number: 1144388315
Entity Type: Organization
Organization Name: Olde Towne Wellness LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 4, 2006
Last Updated: Feb 23, 2011

Practice Location

Address: 515 S SYCAMORE ST
City: Petersburg
State: Virginia
ZIP Code: 23803-5037
Phone: (804) 733-8377

Authorized Official

Name: DR. THOMNAS JAMES HENNESSEY, D.C.
Title: OWNER
Phone: (804) 733-8377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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