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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Preferred Provider Organization |
305R00000X |
| NPI Number | 1255513602 |
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| LBN Legal business name | ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER | ||||||||||||
| Authorized official | THOMAS MAMMANA - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 11/28/2007 | ||||||||||||
| Last updated | 08/05/2009 - About 17 years ago | ||||||||||||
| Identifiers |
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ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER
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ADVANCED CHIROPRACTIC REHABILITATION AND WELLNESS CENTER