| NPI | 1053631127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT A BANKS Doctor/Owner/President 703-787-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556402) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |