Divan Chiropractic and Sports Rehabilitation
NPI #1942698998 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1942698998
- Entity Type
- Organization
- Organization Name
- Divan Chiropractic and Sports Rehabilitation
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 29, 2014
- Last Updated
- Dec 29, 2014
Practice Location
- Address
- 8045 BIG BEND BLVD
- Address 2
- 107
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63119-2714
- Phone
- (314) 961-7181
Authorized Official
- Name
- MRS. JANA WILLISON
- Title
- OFFICE MANAGER
- Phone
- (314) 961-7181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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