| NPI | 1376588756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY L. STINE Owner 540-898-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: VA 0104000612) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-07-23 |