| NPI | 1619923026 |
|---|---|
| Doing Business As | SPORTSPINE |
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARIE WASSON Regional Administrator 216-593-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-05-06 |