Organization
PAIN & REHAB CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NESLY MI CLERGE SR. DC (OWNER/DOCTOR)
(314) 520-4411
Entity
Organization
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 106, WASHINGTON, DC 20020-7022
(202) 610-0260
(202) 610-0261
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE 106, WASHINGTON, DC 20020-7022
(202) 610-0260
(202) 610-0261
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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