Active Spine And Sports Clinic
Chiropractor in San Jose, CA. Organization (NPI-2).
NPI number1619183084
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1619183084
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Spine And Sports Clinic
- Organization subpart
- No
- Enumeration date
- May 15, 2007
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | DC 29365 | CA | Yes |
Practice location
3151 Olin AveSte 103
San Jose, CA 95117-1635
Phone 408-247-8812 · Fax 408-247-8814
Mailing address
3151 Olin AveSte 103
San Jose, CA 95117-1635
Phone 408-247-8812 · Fax 408-247-8814
Authorized official
Colle Hunt
Owner
4082478812
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