| NPI | 1972897965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF DAVID BOWNE Chiropractor 661-288-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA G74794) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC28344) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-17 |