Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC5024L | PA |
NPI | 1356521629 |
---|---|
Provider Name | Dr. Paul L Teich |
First Address | Huntingdon Valley, PA 19006-8324 |
Second Address | Huntingdon Valley, PA 19006-8324 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 05/11/2007 |