Organization
PROVIDENCE CHIROPRACTIC AND REHAB CENTER
Active
Organization
PROVIDENCE CHIROPRACTIC AND REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANAL MENA DC (PRESIDENT)
(609) 626-4008
Entity
Organization
Contact information
Practice address
413 LAKEHURST RD BLDG 2, TOMS RIVER, NJ 08755-7378
(609) 626-4008
Mailing address
413 LAKEHURST RD BUILDING 2, TOMS RIVER, NJ 08755
(609) 626-4008
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
38MC00711800
NJ
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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