Carolina Concussion & Physical Medicine, Pllc
NPI #1124544499 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1124544499
- Entity Type
- Organization
- Organization Name
- Carolina Concussion & Physical Medicine, Pllc
- Primary Specialty
- Chiropractor - Rehabilitation
- Enumeration Date
- Aug 18, 2017
- Last Updated
- May 20, 2018
Practice Location
- Address
- 120 CAPCOM AVEUNE
- Address 2
- SUITE 104
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587
- Phone
- (301) 922-6188
Authorized Official
- Name
- DR. MICHAEL S. DECRISCIO, DC
- Title
- MEMBER
- Phone
- (301) 922-6188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Rehabilitation — Rehabilitation |
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