Organization
COASTAL SPINE AND REHAB CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA CRANDALL DC (CHIROPRACTOR)
(727) 862-3509
Entity
Organization
Contact information
Practice address
13910 FIVAY RD, STE 10, HUDSON, FL 34667-7154
(727) 862-3509
(727) 862-3500
Mailing address
13910 FIVAY RD, STE. 10, HUDSON, FL 34667-7154
(727) 862-3509
(727) 862-3500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10521
FL
Other
Enumeration date
02/09/2012
Last updated
02/12/2016
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