| NPI | 1154805869 |
|---|---|
| Former Legal Business Name | THE MODERN CHIROPRACTIC, LLC |
| Entity Type | Organization |
| Authorized Contact | ALIREZA OSTOVAR Chiropractor 571-212-9981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |