| NPI | 1194079087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE PELLETIER Owner/Chiropractor 386-761-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10769) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |