Back Pain Rehab Center for Treatment of Back Pain LLC
NPI #1639458094 in Park Ridge, New Jersey
Provider Information
- NPI Number
- 1639458094
- Entity Type
- Organization
- Organization Name
- Back Pain Rehab Center for Treatment of Back Pain LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Aug 16, 2011
- Last Updated
- Aug 16, 2011
Practice Location
- Address
- 12 WORTENDYKE RD
- City
- Park Ridge
- State
- New Jersey
- ZIP Code
- 07656-2046
- Phone
- (201) 750-7246
Authorized Official
- Name
- DR. GLENN N COLLAZO, D.C.
- Title
- DIRECTOR
- Phone
- (201) 750-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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