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NPI 1063469740

OrganizationActive

Chiropractic Spine Center IV

NPI 1063469740 · Rehabilitation Chiropractor · Wayne, PA

Provider details

NPI number: 1063469740
Entity type: Organization
Primary specialty: Rehabilitation ChiropractorChiropractic Providers
Authorized official: Theodore Glazer, President
License: AJ-007347-L (PA)

Practice location

744 W Lancaster Ave

Suite 105

Wayne, PA 19087-2523

Phone: (610) 254-8200

Fax: (610) 254-8263

More PA providers

Mailing address

744 W Lancaster Ave

Wayne, PA 19087-2523

Registry dates

Enumerated: 2006-05-28
Last updated: 2016-06-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Chiropractic Spine Center IV — NPI 1063469740, Wayne, PA | NPI Central