Organization
SPINAL REHAB GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN LEE DODES D.C. (OWNER)
(617) 524-4878
Entity
Organization
Contact information
Practice address
406 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4814
(617) 524-4878
(617) 524-0075
Mailing address
406 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4814
(617) 524-4878
(617) 524-0075
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
1871
MA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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