60002 AVONDALE REHABILITATION CENTER NPI 1700033412

NPI Information

60002 AVONDALE REHABILITATION CENTER is a chiropractor in Avondale, AZ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. 60002 AVONDALE REHABILITATION CENTER NPI is 1700033412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12409 W INDIAN SCHOOL RD
B210
AVONDALE, AZ
ZIP 85392-502
Phone: (623) 935-9920

The provider's authorized official is Krista Marie Gerau .
The authorized official title is Owner and has the following contact phone number (623) 935-9920.

The enumeration date for this NPI number is 8/25/2008 and was last updated on 8/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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