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Organization
WEST SHORE CHIROPRACTIC
Active
Organization
WEST SHORE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE LYNN RESTIERI DC (CHIROPRACTOR)
(201) 956-3772
Entity
Organization
Contact information
Practice address
11 TANGLEWOOD CT, PALM COAST, FL 32137-3830
(201) 956-3772
Mailing address
110A W SHORE AVE, DUMONT, NJ 07628-2316
(201) 956-3772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00640900
NJ
Other
Enumeration date
08/06/2006
Last updated
07/23/2013
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