Origin Family Wellness LLC
NPI #1477283042 in Flourtown, Pennsylvania
Provider Information
- NPI Number
- 1477283042
- Entity Type
- Organization
- Organization Name
- Origin Family Wellness LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 15, 2022
- Last Updated
- Sep 12, 2024
Practice Location
- Address
- 1811 BETHLEHEM PIKE STE A101
- City
- Flourtown
- State
- Pennsylvania
- ZIP Code
- 19031-1111
- Phone
- (215) 774-9004
Authorized Official
- Name
- TATIANA KISLUK
- Title
- DNP
- Phone
- (215) 774-9004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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