# CORRADO CHIROPRACTIC AND REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1639361363
- **Authorized official:** DR. DAVID P. CORRADO D.C. (OWNER)
- **Authorized official phone:** (856) 596-0086

## Contact information

- **Practice address:** 151 W GREENTREE RD, SUITE C, MARLTON, NJ 08053-9416
- **Practice address phone:** (856) 596-0086
- **Practice address fax:** (856) 596-0085
- **Mailing address:** 151 W GREENTREE RD, SUITE C, MARLTON, NJ 08053-9416
- **Mailing address phone:** (856) 596-0086
- **Mailing address fax:** (856) 596-0085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00460300 | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6670709 | — | NJ |