NPI | 1134563687 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT DAVID NISSENBAUM Owner 650-226-8348 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 31093) |
Enumeration Date | 2013-04-26 |
Last Update Date | 2020-05-19 |