NPI | 1578556270 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMILLE THERESA D'AMATO Owner 703-237-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: VA D104001065) |
Enumeration Date | 2005-08-26 |
Last Update Date | 2020-08-22 |