Organization
CENTRAL AVENUE SPINE & REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUFFIE ROME (BUSINESS OFFICE MANAGER)
(504) 467-0302
Entity
Organization
Contact information
Practice address
931 20TH AVE NE, MINNEAPOLIS, MN 55418-4652
(612) 789-0833
Mailing address
1919 VETERANS BOULEVARD, SUITE 200, KENNER, LA 70062
(504) 467-0302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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