Southcoast Pain and Rehabilitation Center

NPI #1205142189 in New Bedford, Massachusetts

Provider Information

NPI Number
1205142189
Entity Type
Organization
Organization Name
Southcoast Pain and Rehabilitation Center
Primary Specialty
Chiropractor
Enumeration Date
Aug 30, 2010
Last Updated
Aug 30, 2010

Practice Location

Address
651 ORCHARD ST
Address 2
SUITE 206
ZIP Code
02744-1008
Phone
(508) 991-8400

Authorized Official

Name
MS. LISA F. SHESTACK
Title
CREDENTIALING MANAGER
Phone
(508) 384-9424

Specialties & Taxonomy Codes

Specialty
Chiropractor

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