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Organization
PENINSULA PAIN AND REHABILITATION CENTER, INC.
Active
Organization
PENINSULA PAIN AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S COOK DC (OWNER)
(757) 591-7291
Entity
Organization
Contact information
Practice address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 591-7291
(757) 591-2125
Mailing address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 591-7291
(757) 591-2125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001063
VA
174400000X
Specialist
VA0101022154
VA
Other
Enumeration date
08/22/2006
Last updated
07/02/2024
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