Organization
INTEGRATIVE SPINE CARE LLC
Active
Other names
Pain Prevention & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATA SOLANKI B. SC (OFFICE MANAGER)
(314) 469-7246
Entity
Organization
Contact information
Practice address
13710 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 469-7246
(314) 469-7251
Mailing address
13710 OLIVE BLVD, CHESTERFIELD, MO 63017-2602
(314) 469-7246
(314) 469-7251
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
103749
MO
Other
Enumeration date
07/19/2016
Last updated
11/21/2016
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