Sport, Spine & Rehab, LLC

NPI #1164661955 in Eliot, Maine

Provider Information

NPI Number: 1164661955
Entity Type: Organization
Organization Name: Sport, Spine & Rehab, LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 18, 2009
Last Updated: Jun 13, 2014

Practice Location

Address: 28 LEVESQUE DR
Address 2: SUITE 9
City: Eliot
State: Maine
ZIP Code: 03903
Phone: (207) 439-9045

Authorized Official

Name: DR. PATRICIA GRACE WENTWORTH, DC, ATC
Title: OWNER
Phone: (207) 439-9045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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