| NPI | 1285073130 |
|---|---|
| Other Name | FUNXIONAL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | GARY PETER JAMES VAN LUE CEO 818-357-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CA DC32385) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |