| NPI | 1255487757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BISSELL President 805-565-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |