NPI | 1043252349 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH GLADDEN Owner 805-520-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 30034) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 27915) |
111N00000X Chiropractor (Licence: CA 25341) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2025-09-11 |