Radiant Life Chiropractic LLC

NPI #1164872156 in Hatboro, Pennsylvania

Provider Information

NPI Number: 1164872156
Entity Type: Organization
Organization Name: Radiant Life Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jun 21, 2016
Last Updated: Jan 3, 2021

Practice Location

Address: 319 W COUNTY LINE RD STE 1
City: Hatboro
State: Pennsylvania
ZIP Code: 19040-1605
Phone: (215) 259-5100

Authorized Official

Name: DR. ANDREW GERALD AGASAR, DC
Title: MANAGER
Phone: (215) 259-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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