Organization
BODY BRAIN SYNC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L DRAKE COTA/L (MASTER PAIN SPECIALIST)
(856) 514-1990
Entity
Organization
Contact information
Practice address
412 CAPITOL TRAIL, NEWARK, DE 19711
(302) 498-9234
(855) 210-6070
Mailing address
17 PERTH ST, BEAR, DE 19701
(302) 498-9234
(855) 210-6070
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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