| NPI | 1659792323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SU MIN KO Owner 703-277-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0101250991) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2019-03-01 |