Organization
MANDEVILLE CHIROPRACTIC
Active
Parent organization
SPINAL REHABILITATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINAL REHABILITATION INC
Authorized official
JAMES J DERBES (OWNER)
(985) 626-7795
Entity
Organization
Contact information
Practice address
235 W FLORIDA ST, MANDEVILLE, LA 70448-3056
(985) 626-7795
Mailing address
235 W FLORIDA ST, MANDEVILLE, LA 70448-3056
(985) 626-7795
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1080
LA
Other
Enumeration date
04/17/2008
Last updated
10/14/2008
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