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Dr. Tammy L. Portolese, DC
Chiropractor in North Wales, Pennsylvania
NPI 1306848395

Tammy L. Portolese is a Chiropractor based in North Wales, PA. Tammy L. Portolese practices in North Wales, PA and has the professional credentials of DC. The NPI Number for Tammy L. Portolese is 1306848395 and holds a License No. DC007023L (Pennsylvania).

The current practice location address for Tammy L. Portolese is 118 Dickerson Rd, North Wales, PA and can be reached out via phone at 215-661-8533 and via fax at 215-661-8535.

Location: 118 Dickerson Rd, North Wales, PA, 19454-2538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306848395
Provider Name
Tammy L. Portolese
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
118 Dickerson Rd, North Wales, PA, 19454-2538
Phone Number
215-661-8533
Fax Number
215-661-8535
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0967764000 01 PA KEYSTONE & PC
2582972 01 PA AETNA
1303194 01 PA BC / BS
institution
Provider Business Practice Location Address Details
Address
118 Dickerson Rd
City
North Wales
State
Pennsylvania
Zip
19454-2538
Phone Number
215-661-8533
Fax Number
215-661-8535
person
Provider Business Mailing Address Details
Address
118 Dickerson Rd
City
North Wales
State
Pennsylvania
Zip
19454-2538
Phone Number
215-661-8533
Fax Number
215-661-8535
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC007023L (Pennsylvania)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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