| NPI | 1639733348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SU MIN KO Owner 703-214-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-05-01 |