| NPI | 1760682520 |
|---|---|
| Doing Business As | SPINE & SPORT REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY L LEVERONE President 508-285-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |