| NPI | 1396060661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L PENNER Chiropractic Physician 360-969-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 60067858) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-04-21 |