| NPI | 1376734228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDREW WIRTANEN Owner 703-568-5793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555736) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-09-09 |