| NPI | 1104966811 |
|---|---|
| Doing Business As | ORTHOSPORT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. SJOBLOM Owner 831-442-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-06-18 |