| NPI | 1265598668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE MING SU CEO 703-975-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556378) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305001360) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |