NPI | 1336310531 |
---|---|
Entity Type | Organization |
Authorized Contact | ALAN LEE BURKE Owner 209-836-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2008-03-14 |
Last Update Date | 2010-02-12 |