Individual provider · Type 1 NPI
Octavia C. Prince
Chiropractor · Baltimore, MD
NPI number
1104442573
Active
Practice location
6414 Park Heights Ave Ste G1
Baltimore, MD 21215-3064
Other practice locations
- 1866F Reisterstown Rd, Pikesville, MD 21208-1335 · (410) 413-1152
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | S03991 (MD) |
Chiropractor: 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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About NPI 1104442573
Octavia C. Prince's National Provider Identifier is 1104442573, issued on Jun 22, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 23, 2023.