| NPI | 1508950452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE H KOTKIN Clinic Owner 540-667-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001317) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |