Optimum Spine and Rehab, INC

NPI #1972772424 in Tyler, Texas

Provider Information

NPI Number: 1972772424
Entity Type: Organization
Organization Name: Optimum Spine and Rehab, INC
Primary Specialty: Chiropractor
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 821 ESE LOOP323 STE 310
City: Tyler
State: Texas
ZIP Code: 75701-9666
Phone: (903) 939-1369

Authorized Official

Name: BUFFIE ROME
Title: BUSSINESS OFFICE MANAGER
Phone: (504) 467-0302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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