| NPI | 1649893892 |
|---|---|
| Former Legal Business Name | COAST ALIGN CHIROPRACTIC AND REHAB |
| Entity Type | Organization |
| Authorized Contact | DIANE BENIZZI Doctor 228-447-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2022-11-03 |