Organization
TREVENS SPECIFIC CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY M TREVENS (OFFICE MANAGER)
(617) 926-2884
Entity
Organization
Contact information
Practice address
3 MAIN ST, WATERTOWN, MA 02472-4402
(617) 926-2884
(617) 926-2942
Mailing address
3 MAIN ST, WATERTOWN, MA 02472-4402
(617) 926-2884
(617) 926-2942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2090
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610341
—
MA
Enumeration date
05/16/2007
Last updated
08/22/2020
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