| NPI | 1306052766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RENE GAUTHIER CEO 703-404-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 01014555777) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-06-12 |