| NPI | 1982842233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE MARIE TALTY Physician 831-724-3473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CA 20A6830) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2009-03-23 |