Organization
GRETZ CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREL GRETZ PISCIOTTANO DC (OWNER/PRESIDENT)
(724) 986-9965
Entity
Organization
Contact information
Practice address
1001 CORPORATE DR, CANONSBURG, PA 15317-8551
(724) 743-4500
(724) 743-4501
Mailing address
305 SUGARWOOD DR, VENETIA, PA 15367-2333
(724) 986-9965
(724) 941-1803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 4148-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114991247
NPI
PA
Enumeration date
10/17/2012
Last updated
10/17/2012
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