Back Pain Rehab Center for Treatment of Back Pain LLC
Organization Active NPI Chiropractor · Park Ridge, NJ
NPI 1639458094 · NPPES record last updated Aug 16, 2011
Key facts
- NPI
- 1639458094
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00430900 (NJ)
- Legal business name
- BACK PAIN REHAB CENTER FOR TREATMENT OF BACK PAIN LLC
- Practice address
- 12 Wortendyke Rd
Park Ridge, NJ 07656-2046 - Phone
- (201) 750-7246
- NPI assigned
- Aug 16, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Glenn N Collazo, D.C.
- Title
- Director
- Phone
- (201) 750-7246
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 38MC00430900 | NJ | Yes |
Addresses
Primary practice location
12 Wortendyke Rd
Park Ridge, NJ 07656-2046
Mailing address
12 Wortendyke Rd
Park Ridge, NJ 07656-2046
Phone (201) 750-7246
Other names
- BACK PAIN REHAB LLC
Other providers in Park Ridge, NJ
- Jennifer Allen
- Altius Physical Therapy LLC
- Regina Ardizone
- Atrium at Park Ridge LLC
- Christine Ayob
- Barone Chiropractic LLC
- Brianna Lyn Barone
- Arthur Scot Barthold
- Jorge Becerra
- Ava Luciana Berenato
All providers in Park Ridge, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.