Optimal Spine INC
NPI #1205016383 in Stewartstown, Pennsylvania
Provider Information
- NPI Number
- 1205016383
- Entity Type
- Organization
- Organization Name
- Optimal Spine INC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 6, 2007
- Last Updated
- Nov 6, 2007
Practice Location
- Address
- 32 S MAIN ST
- City
- Stewartstown
- State
- Pennsylvania
- ZIP Code
- 17363-4003
- Phone
- (717) 993-5388
Authorized Official
- Name
- DR. DAVID JAY-BRADLEY WISTORT, DC
- Title
- OWNER
- Phone
- (717) 993-5388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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Organizations
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