NPI | 1629126016 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM TODD FISHER Owner Doctor 703-378-2698 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 010400705) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104001706) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |