Organization Name: | WEST COAST INJURY & REHABLITATION CENTER, INC. |
NPI Number: | 1134357353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATALINA TORRES (PRESIDENT/CHIROPRACTIC PHYSICIAN) |
Mailing Address: | 5624 8th St W Suite 111 Lehigh Acres |
State: | FL US |
Postal Code: | 339716304 |
Phone Number: | 2396747777 |
Fax Number: | 2396747774 |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | CH8439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |