Northeast Spine & Rehab., LLC
NPI #1891733457 in Trumbull, Connecticut
Provider Information
- NPI Number
- 1891733457
- Entity Type
- Organization
- Organization Name
- Northeast Spine & Rehab., LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Nov 27, 2007
Practice Location
- Address
- 5520 PARK AVE
- Address 2
- SUITE 208
- City
- Trumbull
- State
- Connecticut
- ZIP Code
- 06611-3463
- Phone
- (203) 368-1192
Authorized Official
- Name
- MR. RONELL RONLEY OWENS
- Title
- OFFICIAL
- Phone
- (203) 368-1192
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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