# BODY BRAIN SYNC, INC

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

## Provider details

- **NPI number:** 1568944999
- **Authorized official:** LAURA L DRAKE COTA/L (MASTER PAIN SPECIALIST)
- **Authorized official phone:** (856) 514-1990

## Contact information

- **Practice address:** 412 CAPITOL TRAIL, NEWARK, DE 19711
- **Practice address phone:** (302) 498-9234
- **Practice address fax:** (855) 210-6070
- **Mailing address:** 17 PERTH ST, BEAR, DE 19701
- **Mailing address phone:** (302) 498-9234
- **Mailing address fax:** (855) 210-6070

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2018
- **Last updated:** 09/01/2018