Divine Chiropractic LLC
NPI #1235404039 in Miller Place, New York
Provider Information
- NPI Number
- 1235404039
- Entity Type
- Organization
- Organization Name
- Divine Chiropractic LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 13, 2012
- Last Updated
- Mar 13, 2012
Practice Location
- Address
- 465 ROUTE 25A
- Address 2
- SUITE 1
- City
- Miller Place
- State
- New York
- ZIP Code
- 11764
- Phone
- (631) 384-2023
Authorized Official
- Name
- DR. KATHLEEN CAREY CLARKIN-DEDIO, D.C.
- Title
- OWNER
- Phone
- (631) 384-2023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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