NPI | 1104212851 |
---|---|
Entity Type | Organization |
Authorized Contact | SANGWON JUNG Chiropractor D.C. 703-505-0105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2015-04-09 |
Last Update Date | 2015-06-18 |