Sport & Spine Rehab of Columbia

NPI #1124230966 in Columbia, Maryland

Provider Information

NPI Number: 1124230966
Entity Type: Organization
Organization Name: Sport & Spine Rehab of Columbia
Primary Specialty: Chiropractor
Enumeration Date: May 4, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 10760 HICKORY RIDGE ROAD
Address 2: 119
City: Columbia
State: Maryland
ZIP Code: 21044
Phone: (410) 964-0837

Authorized Official

Name: DR. JAY S GREENSTEIN, DC
Title: CEO
Phone: (410) 964-0837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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