Individual
JENNIFER L PETTIBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5720 LYNDON B JOHNSON FWY, SUITE 150, DALLAS, TX 75240-6328
(972) 661-2378
(972) 233-7030
Mailing address
5720 LYNDON B JOHNSON FWY, SUITE 150, DALLAS, TX 75240-6328
(972) 661-2378
(972) 233-7030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5935
TX
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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