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Organization
SPINE TECHNOLOGY AND REHABILITATION, P.C.
Active
Organization
SPINE TECHNOLOGY AND REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D. FORTIN D.O. (PHYSICIAN/EMPLOYEE)
(260) 459-7313
Entity
Organization
Contact information
Practice address
909 W MAUMEE ST, ANGOLA, IN 46703-1368
(260) 459-7313
Mailing address
909 W MAUMEE ST, ANGOLA, IN 46703-1368
(260) 459-7313
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/23/2005
Last updated
08/22/2020
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