Organization
PRO-PERFORM SPINAL HEALTH & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT N SCOTT D.C. (PRESIDENT)
(301) 705-7800
Entity
Organization
Contact information
Practice address
12070 OLD LINE CTR, SUITE 301, WALDORF, MD 20602-2513
(301) 705-7800
Mailing address
12070 OLD LINE CTR, SUITE 301, WALDORF, MD 20602-2513
(301) 705-7800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03581
MD
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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