Organization
TOTAL BODY REHABILITATION LLC
Active
Other names
Shannon Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M. SHANNON D. C. (CHIROPRACTOR / OWNER)
(201) 891-1155
Entity
Organization
Contact information
Practice address
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481-2099
(201) 891-1155
(201) 891-5522
Mailing address
260 GODWIN AVE, SUITE 1, WYCKOFF, NJ 07481-2099
(201) 891-1155
(201) 891-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/23/2007
Last updated
11/30/2011
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