NPI | 1003993452 |
---|---|
Doing Business As | STATE STREET CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | CHARLES F. PADOS Doctor Of Chiropractic 814-453-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: PA DC004603L) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |