Organization
DELAWARE SPINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE WAKULA (MANAGER)
(772) 546-9591
Entity
Organization
Contact information
Practice address
216 E 2ND ST, NEW CASTLE, DE 19720-3602
(772) 546-9591
Mailing address
8929 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 546-9591
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
DE
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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