Organization
CHIROPRACTIC SPINE & REHAB CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY OTTO D.C. (PRESIDENT)
(414) 321-1500
Entity
Organization
Contact information
Practice address
2349 S 108TH ST, WEST ALLIS, WI 53227-1927
(414) 321-1500
(414) 321-1506
Mailing address
2349 S 108TH ST, WEST ALLIS, WI 53227-1927
(414) 321-1500
(414) 321-1506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4315-012
WI
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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