# PAIN AND SPINE REHAB CENTER

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

## Provider details

- **NPI number:** 1669766556
- **Authorized official:** DR. TARIQ ARIF DC (GENERAL PARTNER)
- **Authorized official phone:** (513) 860-3331

## Contact information

- **Practice address:** 700 NILLES RD, FAIRFIELD, OH 45014-3604
- **Practice address phone:** (513) 860-3331
- **Practice address fax:** (513) 453-4000
- **Mailing address:** PO BOX 291785, KETTERING, OH 45429-0785
- **Mailing address phone:** (937) 299-4466
- **Mailing address fax:** (937) 558-1138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2429 | OH | — |
| 208VP0000X | Pain Medicine Physician | 35085482 | OH | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 06/08/2011