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 |