Provider Demographics
NPI:1881865699
Name:CHIRO REHAB ASSOCIATES
Entity Type:Organization
Organization Name:CHIRO REHAB ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART-OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:PETTINATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-882-1930
Mailing Address - Street 1:3000 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2469
Mailing Address - Country:US
Mailing Address - Phone:412-882-1930
Mailing Address - Fax:
Practice Address - Street 1:3000 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2469
Practice Address - Country:US
Practice Address - Phone:412-882-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006233L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty