Samurai Sports & Rehab PLLC
Chiropractor in Raleigh, NC. Organization (NPI-2).
NPI number1558097337
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1558097337
- Entity type
- Organization (NPI-2)
- Legal business name
- Samurai Sports & Rehab PLLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Samurai Sports & Rehab (Doing Business As)
Practice location
1101 Spring Forest Rd Ste 100Raleigh, NC 27615-5844
Phone 919-390-2267
Mailing address
4508 Baymar Dr Apt 304Raleigh, NC 27612-3280
Phone 787-371-8843
Authorized official
Jose O Torres
Owner
7873718843
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