Provider Demographics
NPI:1942513825
Name:SPINAL REHAB NETWORK, INC.
Entity Type:Organization
Organization Name:SPINAL REHAB NETWORK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:D
Authorized Official - Last Name:COMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:267-257-6279
Mailing Address - Street 1:2813 COTTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1421
Mailing Address - Country:US
Mailing Address - Phone:267-257-6279
Mailing Address - Fax:215-546-1373
Practice Address - Street 1:2813 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1421
Practice Address - Country:US
Practice Address - Phone:267-257-6279
Practice Address - Fax:215-546-1373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty