| Active Spine And Sports Clinic | |
|
3151 Olin Ave, Ste 103, San Jose, CA 95117-1635 | |
| (408) 247-8812 | |
| (408) 247-8814 |
| Full Name | Active Spine And Sports Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3151 Olin Ave, San Jose, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619183084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC 29365 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Active Spine And Sports Clinic 3151 Olin Ave, Ste 103, San Jose, CA 95117-1635 Ph: (408) 247-8812 | Active Spine And Sports Clinic 3151 Olin Ave, Ste 103, San Jose, CA 95117-1635 Ph: (408) 247-8812 |
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