Active Spine Care LLC

NPI #1306109350 in Baton Rouge, Louisiana

Provider Information

NPI Number
1306109350
Entity Type
Organization
Organization Name
Active Spine Care LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 22, 2012
Last Updated
Jun 22, 2012

Practice Location

Address
8108 PICARDY AVE STE E
ZIP Code
70809-3514
Phone
(225) 819-3235

Authorized Official

Name
MR. TODD T JANNEY SR., PT,CEAS, IPS
Title
CEO/MANAGER
Phone
(225) 791-7788

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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