| NPI | 1649612128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PRATLEY Orthopedic 951-687-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic |
| Additional Taxonomies | 171100000X Acupuncturist |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |