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Organization
TOTAL BODY REHABILITATION LLC
Active
Organization
TOTAL BODY REHABILITATION LLC
Active
Other names
Shannon Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M. SHANNON D. C. (CHIROPRACTOR / OWNER)
(201) 891-1155
Entity
Organization
Contact information
Practice address
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481-2099
(201) 891-1155
(201) 891-5522
Mailing address
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481-2099
(201) 891-1155
(201) 891-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/23/2007
Last updated
11/30/2011
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