| NPI | 1215344304 |
|---|---|
| Doing Business As | PINE STREET CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL EAGNATIEV President 781-989-4762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2177) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |