| NPI | 1891556197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN TIMOTHY RUBIN Owner 805-738-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-12-12 |