Burl Pettibon

NPI #1871766154 in Gig Harbor, Washington

Provider Information

NPI Number: 1871766154
Entity Type: Organization
Organization Name: Burl Pettibon
Primary Specialty: Chiropractor
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 7108 PIONEER WAY
Address 2: STE A
City: Gig Harbor
State: Washington
ZIP Code: 98335-1178
Phone: (253) 858-2474

Authorized Official

Name: CHRISTIAN COHEN, D.C.
Title: CHIROPRACTOR
Phone: (253) 858-2474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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