| NPI | 1366856296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ANTHONY BAZZARONE President 703-938-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000764) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |