Organization
NORTHEAST SPINE AND REHABILITAION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RIOS (OWNER)
(215) 335-6700
Entity
Organization
Contact information
Practice address
7261 REVERE ST, PHILADELPHIA, PA 19149-1429
(215) 335-6700
(215) 335-6701
Mailing address
7261 REVERE ST, PHILADELPHIA, PA 19149-1429
(215) 335-6700
(215) 335-6701
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC002965L
PA
Other
Enumeration date
03/20/2010
Last updated
03/20/2010
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