Organization
REVOLUTION SPINE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINSON MA DC (OWNER)
(908) 458-6860
Entity
Organization
Contact information
Practice address
8 LARSEN CT, BRIDGEWATER, NJ 08807-5720
(908) 642-9953
Mailing address
8 LARSEN CT, BRIDGEWATER, NJ 08807-5720
(908) 642-9953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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