NPI | 1396896148 |
---|---|
Doing Business As | ALLSPORTS PHYSICAL MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | MIA M KENNEDY Owner 540-483-3678 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: VA 0104555747) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |