Professional Sport & Spine LLC

NPI #1942789037 in Cinnaminson, New Jersey

Provider Information

NPI Number: 1942789037
Entity Type: Organization
Organization Name: Professional Sport & Spine LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 9, 2018
Last Updated: Aug 9, 2018

Practice Location

Address: 101 ROUTE 130 S- PRESIDENTIAL CENTER
Address 2: WASHINGTON BLDG SUITE 10
City: Cinnaminson
State: New Jersey
ZIP Code: 08077
Phone: (609) 346-2954

Authorized Official

Name: DR. DANE HARDY, DC
Title: CHIROPRACTOR/OWNER
Phone: (609) 346-2954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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