# CHRISTIANA SPINE CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTIANA SPINE CENTER PA
- **Other names:** Physiatry Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770061681
- **Legal business name:** CHRISTIANA SPINE CENTER PA
- **Authorized official:** VALERIE MANGES (ADMINISTRATOR)
- **Authorized official phone:** (302) 996-9522

## Contact information

- **Practice address:** 1101 TWIN C LN STE 202, NEWARK, DE 19713-2159
- **Practice address phone:** (302) 636-1164
- **Mailing address:** 4735 OGLETOWN STANTON RD STE 3302, NEWARK, DE 19713-2094

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 08/02/2018