| NPI | 1609182088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P OHARA President 703-368-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: VA 0104001121) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |