| NPI | 1265842041 |
|---|---|
| Doing Business As | BOARDWALK CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | CAROLYNN JEAN PAVLOCK Chiropractor, Owner 360-953-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: WA 603284445) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |