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Organization
SPINE AND REHABILITATION CENTER
Active
Organization
SPINE AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI ATCHLEY (CHIEF OPERATING OFFICER)
(512) 345-5935
Entity
Organization
Contact information
Practice address
3724 EXECUTIVE CENTER DR, SUITE G-10, AUSTIN, TX 78731-1646
(512) 345-5925
(512) 343-7113
Mailing address
3724 EXECUTIVE CENTER DR, SUITE G-10, AUSTIN, TX 78731-1646
(512) 345-5925
(512) 343-7113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/04/2006
Last updated
08/14/2008
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