Organization
NORTH EASTERN SPECIFIC CHIROPRACTIC, INC
Active
Other names
The Specific Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY TREVENS DC (PRESIDENT)
(508) 505-5155
Entity
Organization
Contact information
Practice address
22 GODDARD ST, SOUTHBRIDGE, MA 01550-2482
(508) 505-5155
Mailing address
22 GODDARD ST, SOUTHBRIDGE, MA 01550-2482
(508) 505-5155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MA
Other
Enumeration date
10/04/2016
Last updated
10/05/2016
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