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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 | |
Sports Medicine |
2081S0010X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI # | 1417058009 |
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| LBN Legal business name | PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC | ||||||||||||||||
| Authorized official | MARIA IGNAZIO - (OFFICE MANAGER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 09/26/2006 | ||||||||||||||||
| Last updated | 01/26/2012 - About 14 years ago | ||||||||||||||||
| Identifiers |
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PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC
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PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC