| NPI | 1366701203 |
|---|---|
| Doing Business As | LIDDY HEALTH AND FITNESS |
| Entity Type | Organization |
| Authorized Contact | DEBORRA A LIDDY Office Manager 310-659-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA dc31233) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA dc16468) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CA dc31888) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA dc16468) | |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2012-05-16 |