| NPI | 1962283275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANDERS Cto 661-247-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |