| NPI | 1962944652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DAVID KOTZAN Owner 408-373-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC30809) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |