# BROCKTON SPINE AND REHAB

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

## Provider details

- **NPI number:** 1134167521
- **Authorized official:** DR. FREDERICK T GIAMPA DC (OWNER)
- **Authorized official phone:** (978) 250-0230

## Contact information

- **Practice address:** 80-86 MAIN STREET, TAUNTON, MA 02780-1822
- **Practice address phone:** (508) 828-1400
- **Mailing address:** 101 BRICK KILN RD, BLDG 1, UNIT 5, CHELMSFORD, MA 01824-3282
- **Mailing address phone:** (978) 250-0230
- **Mailing address fax:** (978) 250-8424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 12/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Y39606 | BCBS | MA |