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General NPI Number Information
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NPI Number | 1134357353
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Entity Type | Organization
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Legal Business Name | WEST COAST INJURY & REHABLITATION CENTER, INC.
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 5624 8TH ST W SUITE 111
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-6304
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Country | US
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Telephone | 239-674-7777
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Fax | 239-674-7774
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Provider Business Mailing Address
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Address Line | 5624 8TH ST W SUITE 111
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-6304
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Country | US
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Telephone | 239-674-7777
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Fax | 239-674-7774
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Authorized Official
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Title or Position | PRESIDENT/CHIROPRACTIC PHYSICIAN
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Name | DR. CATALINA TORRES
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Credential | D. C.
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Telephone | 239-674-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | CH8439
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License Number State | FL
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