| NPI | 1568686814 |
|---|---|
| Professional Name | JOHN-TIMOTHY PHEASANT ANGELO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CA 30036) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-09-24 |