Montclair Spine & Sports Rehab, LLC
NPI #1164032140 in Montclair, New Jersey
Provider Information
- NPI Number
- 1164032140
- Entity Type
- Organization
- Organization Name
- Montclair Spine & Sports Rehab, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 5, 2020
- Last Updated
- Aug 5, 2020
Practice Location
- Address
- 292 BLOOMFIELD AVE FL 2
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-3624
- Phone
- (973) 942-0220
Authorized Official
- Name
- DR. JORGE DE LA TORRE JR., DC
- Title
- OWNER
- Phone
- (973) 942-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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