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 |