| NPI | 1700035052 |
|---|---|
| Doing Business As | PETERSON CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | NICKALOS LEE PETERSON Owner 203-438-9606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |