Organization
SEAPORT SPINE PLLC
Active
Other names
Seaport Spine & Sport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HOLLIEN DC (OWNER/CHIROPRACTOR)
(617) 519-3607
Entity
Organization
Contact information
Practice address
212 NORTHERN AVE, BOSTON, MA 02210-2089
(617) 519-3607
Mailing address
11 BUNTON ST, MILTON, MA 02186-5704
(617) 519-3607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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