Provider Demographics
NPI:1891019808
Name:REBECCA SCANDURA
Entity Type:Organization
Organization Name:REBECCA SCANDURA
Other - Org Name:WHOLE FOCUS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCANDURA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:413-923-8914
Mailing Address - Street 1:92 MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1499
Mailing Address - Country:US
Mailing Address - Phone:413-923-8914
Mailing Address - Fax:413-301-9695
Practice Address - Street 1:92 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1499
Practice Address - Country:US
Practice Address - Phone:413-923-8914
Practice Address - Fax:413-301-9695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty