Organization
RENEW-REBUILD-REHABILITATE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE ELLEN PODMIJERSKY D.C. (OWNER)
(410) 366-3250
Entity
Organization
Contact information
Practice address
312 MARTIN LUTHER KING JR BLVD, SUITE 100, BALTIMORE, MD 21201-1221
(410) 366-3250
Mailing address
PO BOX 5001, SEVERNA PARK, MD 21146-0360
(410) 366-3250
(410) 366-3252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01679
MD
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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