Organization
BAYSIDE CHIROPRACTIC REHAB AND LASER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET HOOKS PORTER (BUSINESS OWNER)
(757) 331-1190
Entity
Organization
Contact information
Practice address
117 MASON AVE STE F, CAPE CHARLES, VA 23310-3135
(757) 331-1190
(757) 331-1260
Mailing address
117 MASON AVE STE F, CAPE CHARLES, VA 23310-3135
(757) 331-1190
(757) 331-1260
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557185
VA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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