| NPI | 1205144722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENWYN ANNE-LISA PEDDYCOART President 651-770-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3350) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |