| NPI | 1851702203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA COLE Owner 540-273-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: VA 0104556795) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |