Active Family Chiropractic, LLC
NPI #1417311531 in Willow Street, Pennsylvania
Provider Information
- NPI Number
- 1417311531
- Entity Type
- Organization
- Organization Name
- Active Family Chiropractic, LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 6, 2016
- Last Updated
- Apr 6, 2016
Practice Location
- Address
- 4 MYLIN AVE
- City
- Willow Street
- State
- Pennsylvania
- ZIP Code
- 17584-9305
- Phone
- (717) 947-7283
Authorized Official
- Name
- DR. BARRY DANIEL HAZEN, D.C.
- Title
- SOLE MEMBER/OWNER
- Phone
- (717) 947-7283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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