# ADVANCED CHIROPRACTIC AND RAHABILITATION, LLC

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

## Provider details

- **NPI number:** 1366692113
- **Authorized official:** DR. JOSEPH ROBERT TOTARO D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (330) 726-7404

## Contact information

- **Practice address:** 1315 BOARDMAN CANFIELD RD STE 3, BOARDMAN, OH 44512-4075
- **Practice address phone:** (330) 726-7404
- **Practice address fax:** (330) 726-9920
- **Mailing address:** 1315 BOARDMAN CANFIELD RD STE 3, BOARDMAN, OH 44512-4075
- **Mailing address phone:** (330) 726-7404
- **Mailing address fax:** (330) 726-9920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3478 | OH | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 09/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AD9368361 | MEDICARE PROVIDER NUMBER (PTAN) | OH |