Organization · NPI-2

Allied Health & Rehabilitation

Chiropractor, Rehabilitation · Tallahassee, FL

NPI number1134500606
StatusActive
Last updated in NPPESOct 31, 2016

Details

NPI
1134500606
Entity type
Organization (NPI-2)
Legal business name
Allied Health & Rehabilitation
Organization subpart
No
Enumeration date
Jun 10, 2015
Last updated
Oct 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NR0400X Chiropractor, Rehabilitationch10381FLYes

Other names

  • Marianna Health & Rehab (Former Legal Business Name)

Practice location

842 E Park Ave
Tallahassee, FL 32301-0403

Phone 678-637-3416

Mailing address

177 Salem Ct
Tallahassee, FL 32301-2809

Phone 678-637-3416

Authorized official

Martine Charles
Owner
6786373416

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