Provider Demographics
NPI:1134357353
Name:WEST COAST INJURY & REHABLITATION CENTER, INC.
Entity type:Organization
Organization Name:WEST COAST INJURY & REHABLITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:239-674-7777
Mailing Address - Street 1:5624 8TH ST W
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-6304
Mailing Address - Country:US
Mailing Address - Phone:239-674-7777
Mailing Address - Fax:239-674-7774
Practice Address - Street 1:5624 8TH ST W
Practice Address - Street 2:SUITE 111
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-6304
Practice Address - Country:US
Practice Address - Phone:239-674-7777
Practice Address - Fax:239-674-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8439261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty