| NPI | 1013416569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DALE CRANDALL Doctor 703-719-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 396) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |