| NPI | 1629295514 |
|---|---|
| Doing Business As | CHARLESTOWN ROAD CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LEA R KOONS President 812-944-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-05-06 |