| NPI | 1992987739 |
|---|---|
| Doing Business As | PROGRESSIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LIDIA T PETERSEN President 907-224-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 384) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |