| NPI | 1659623205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SNEED Member/Manager 703-505-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: VA 0102202984) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2013-03-05 |