Provider Demographics
NPI:1699908566
Name:DORIO, BOBBI ANN (DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:BOBBI ANN
Middle Name:
Last Name:DORIO
Suffix:
Gender:F
Credentials:DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 W ROUTE 38
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3238
Mailing Address - Country:US
Mailing Address - Phone:856-273-1551
Mailing Address - Fax:856-273-9988
Practice Address - Street 1:212 W ROUTE 38
Practice Address - Street 2:SUITE 100
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3238
Practice Address - Country:US
Practice Address - Phone:856-273-1551
Practice Address - Fax:856-273-9988
Is Sole Proprietor?:No
Enumeration Date:2009-08-26
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00425700111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician