# PINE CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023208931
- **Authorized official:** KEITH SOR (MANAGER)
- **Authorized official phone:** (978) 452-1188

## Contact information

- **Practice address:** 35 WILLIE ST, UNIT 12, LOWELL, MA 01854-4164
- **Practice address phone:** (978) 452-1188
- **Practice address fax:** (978) 452-7220
- **Mailing address:** 35 WILLIE ST, UNIT 12, LOWELL, MA 01854-4164
- **Mailing address phone:** (978) 452-1188
- **Mailing address fax:** (978) 452-7220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007