| NPI | 1609870088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MEYER Owner 818-788-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC23554) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29857) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2020-08-22 |