| NPI | 1659697597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W BREEN President 703-368-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000765) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0104000765) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |