Organization
REHAB IT SPORT AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISHA A SILEO DC (OWNER)
(631) 434-5320
Entity
Organization
Contact information
Practice address
807 N HADDON AVE STE 210, HADDONFIELD, NJ 08033-1749
(856) 228-3100
Mailing address
807 N HADDON AVE STE 210, HADDONFIELD, NJ 08033-1749
(856) 228-3100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568984714
—
NJ
Enumeration date
10/09/2023
Last updated
10/09/2023
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