| NPI | 1770604464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WEISS Chief Operating Officer 703-378-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104002083) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104002089) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-08-01 |