# GLASS CITY SPINE AND REHAB INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glass City Injury and Rehab Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780006247
- **Authorized official:** DR. MATTHEW BERTOLLINI DC (OWNER)
- **Authorized official phone:** (419) 472-2610

## Contact information

- **Practice address:** 4333 MONROE ST, SUITE D & E, TOLEDO, OH 43606-1981
- **Practice address phone:** (419) 472-2610
- **Practice address fax:** (419) 472-2611
- **Mailing address:** 4333 MONROE ST, SUITE D & E, TOLEDO, OH 43606-1981
- **Mailing address phone:** (419) 472-2610
- **Mailing address fax:** (419) 472-2611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3460 | OH | Yes |

## Other

- **Enumeration date:** 01/17/2014
- **Last updated:** 03/06/2014
