Organization
ABITA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH PETROSKY DC (OWNER)
(985) 893-1181
Entity
Organization
Contact information
Practice address
71623 HICKORY ST., ABITA SPRINGS, LA 70420
(985) 893-1181
(985) 893-0414
Mailing address
P.O. BOX 836, 71623 HICKORY ST., ABITA SPRINGS, LA 70420
(985) 893-1181
(985) 893-0414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1013
LA
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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