| NPI | 1356860829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA JAHAN Owner/Provider 571-332-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0101051081) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |