NPI | 1255648002 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD ALLEN NIEDER President 540-434-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104556171) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2010-08-31 |