# CHIROPRACTIC & SPINAL REHABILITATION CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockside Chiropractic Life Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629014535
- **Authorized official:** DR. MARC NISSAN FRIEDMAN D.C. (PRESIDENT)
- **Authorized official phone:** (216) 429-9700

## Contact information

- **Practice address:** 5004 TURNEY RD, GARFIELD HTS, OH 44125-2503
- **Practice address phone:** (216) 429-9700
- **Practice address fax:** (216) 429-9701
- **Mailing address:** 5004 TURNEY RD, GARFIELD HTS, OH 44125-2503
- **Mailing address phone:** (216) 429-9700
- **Mailing address fax:** (216) 429-9707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2535 | OH | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 09/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2156054 | — | OH |