| NPI | 1568046555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LESSETT MARQUEZ Clinic Director 424-333-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 224Z00000X Occupational Therapy Assistant | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-07 |