| NPI | 1265873848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT MARSHALL LEAVITT President 703-780-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000968) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |