| NPI | 1538552781 |
|---|---|
| Doing Business As | POTOMAC PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW FONTAINE Doctor/Owner 571-982-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556931) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2023-01-06 |