| NPI | 1518301035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE H BEDI President 571-926-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: VA 0101251222) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556266) |
| 111N00000X Chiropractor (Licence: VA 0104556915) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |