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Dr. Vanessa Leigh Koutalidis, DC
Chiropractor in Wilton Manors, Florida
NPI 1710051719

Vanessa Leigh Koutalidis is a Chiropractor based in Wilton Manors, FL. Vanessa Leigh Koutalidis practices in Wilton Manors, FL and has the professional credentials of DC. The NPI Number for Vanessa Leigh Koutalidis is 1710051719 and holds a License No. CH7318 (Florida).

The current practice location address for Vanessa Leigh Koutalidis is 1749 Ne 26Th Street, Wilton Manors, FL and can be reached out via phone at 954-566-1349 and via fax at 954-566-1385.

Location: 1749 Ne 26Th Street, Wilton Manors, FL, 33305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710051719
Provider Name
Vanessa Leigh Koutalidis
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1749 Ne 26Th Street, Wilton Manors, FL, 33305
Phone Number
954-566-1349
Fax Number
954-566-1385
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70635 01 BC
institution
Provider Business Practice Location Address Details
Address
1749 Ne 26Th Street
City
Wilton Manors
State
Florida
Zip
33305
Phone Number
954-566-1349
Fax Number
954-566-1385
person
Provider Business Mailing Address Details
Address
1749 Ne 26Th Street
City
Wilton Manors
State
Florida
Zip
33305
Phone Number
954-566-1349
Fax Number
954-566-1385
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH7318 (Florida)
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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