| NPI | 1407935190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN L. DOAN President 757-546-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: VA 0104001238) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2011-07-22 |