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 |