# BURLINGTON COUNTY SPINE & REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gloucester County Spine & Rehabilitation Llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720217821
- **Authorized official:** MS. EUNICE WONG (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (856) 235-0202

## Contact information

- **Practice address:** 167 BRIDGETON PIKE, MULLICA HILL, NJ 08062-2669
- **Practice address phone:** (856) 701-5810
- **Mailing address:** 103 MASONVILLE RD, MOUNT LAUREL, NJ 08054-1612
- **Mailing address phone:** (856) 235-0202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 05/04/2010