Maryland Spine Rehab, LLC

NPI #1629251830 in Dundalk, Maryland

Provider Information

NPI Number: 1629251830
Entity Type: Organization
Organization Name: Maryland Spine Rehab, LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 11, 2007
Last Updated: Jan 20, 2021

Practice Location

Address: 1515 MERRITT BLVD
City: Dundalk
State: Maryland
ZIP Code: 21222-2113
Phone: (410) 285-0920

Authorized Official

Name: DR. LOUIS S CRIVELLI II, D.C., M.S., C.N.S.
Title: OWNER
Phone: (301) 652-7717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Nutrition — Nutrition	111NN1001X
Chiropractor	111N00000X	Primary

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