Individual
SUSAN DIPETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
529 E MAIN ST, BRIDGEPORT, WV 26330-1824
(304) 376-9792
Mailing address
321 JAMES ST, BRIDGEPORT, WV 26330-1333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
919
WV
111N00000X
Chiropractor
DC010275
PA
Other
Enumeration date
05/05/2010
Last updated
02/10/2014
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