Organization
PETRIS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP PETRIS DC (CHIROPRACTOR/OWNER)
(732) 678-6785
Entity
Organization
Contact information
Practice address
551 LAKEHURST RD FL 1, TOMS RIVER, NJ 08755-8044
(732) 678-6785
Mailing address
551 LAKEHURST RD FL 1, TOMS RIVER, NJ 08755-8044
(732) 678-6785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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