| 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 |