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Organization
BACK TO THE BEACH, INC
Active
Organization
BACK TO THE BEACH, INC
Active
Other names
Capitol Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT DAVID SHERMAN D.C. (PRESIDENT)
(757) 831-9128
Entity
Organization
Contact information
Practice address
1900 MONTICELLO AVE, NORFOLK, VA 23517-2339
(757) 831-9128
Mailing address
1900 MONTICELLO AVE, NORFOLK, VA 23517-2339
(757) 831-9128
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556338
VA
225100000X
Physical Therapist
2305203689
VA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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