Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | 12207 | TX |
Y | 111NS0005X | Chiropractic Sports Physician | 23853 | CA |
NPI | 1306086434 |
---|---|
Provider Name | Linda Rowe |
First Address | Manhattan Beach, CA 90266-3727 |
Second Address | Manhattan Beach, CA 90266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 07/08/2019 |