BODY TECH SPORTS & REHAB NPI 1972654887

NPI Information

BODY TECH SPORTS & REHAB is a chiropractor in Orange, CA. 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. BODY TECH SPORTS & REHAB NPI is 1972654887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1234 W CHAPMAN AVE
SUITE 204
ORANGE, CA
ZIP 92868-862
Phone: (714) 308-5087
Fax: (714) 289-4698

The provider's authorized official is Mark William Bennallack .
The authorized official title is Owner and has the following contact phone number (714) 308-5087.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 6/24/2008.

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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