Organization
SPINE, SPORTS, & REHAB CHIROPRACTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ARTHUR PENTON D.C. (OWNER)
(337) 250-4088
Entity
Organization
Contact information
Practice address
1011 N AVENUE G, CROWLEY, LA 70526-3733
(337) 250-4088
Mailing address
1011 N AVENUE G, CROWLEY, LA 70526-3733
(337) 250-4088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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