# SPINE TECHNOLOGY AND REHABILITATION, P.C.

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

## Provider details

- **NPI number:** 1316920341
- **Authorized official:** JOSEPH D. FORTIN D.O. (PHYSICIAN/EMPLOYEE)
- **Authorized official phone:** (260) 459-7313

## Contact information

- **Practice address:** 1316 E 7TH ST, AUBURN, IN 46706-2523
- **Practice address phone:** (260) 459-7313
- **Mailing address:** 1316 E 7TH ST, AUBURN, IN 46706-2523
- **Mailing address phone:** (260) 459-7313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 08/22/2020