| NPI | 1194804955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN WETZEN President/Owner 703-560-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001865) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |