| NPI | 1811339385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PRATELY Orthopedic 951-687-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |