| NPI | 1023474152 |
|---|---|
| Doing Business As | PROACTIVE THERAPEUTIC ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | SCOTT O'CONNOR Member 805-266-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 111N00000X Chiropractor | |
| 133N00000X Nutritionist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |