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Organization
ACTIVE SPINE CARE LLC
Active
Organization
ACTIVE SPINE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD T JANNEY SR. PT,CEAS, IPS (CEO/MANAGER)
(225) 791-7788
Entity
Organization
Contact information
Practice address
8108 PICARDY AVE STE E, BATON ROUGE, LA 70809-3514
(225) 819-3235
(225) 293-0130
Mailing address
PO BOX 880, WALKER, LA 70785-0880
(225) 791-7788
(225) 293-0130
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
LA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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