| NPI | 1699151019 |
|---|---|
| Doing Business As | ACTIVE LIFE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SHANE OTT Owner/Dc 760-230-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33000) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |