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 | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Sports Medicine |
207RS0010X | 11 | Physician/Internal Medicine |
| NPI # | 1891315446 |
| LBN Legal business name | PREFERRED REHAB LLC |
| Authorized official | STEPHEN GILLEN - (MEMBER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/23/2020 |
| Last updated | 04/23/2020 - About 6 years ago |
| Identifiers | n/a |
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PREFERRED REHAB LLC
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