| NPI | 1992436190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYUNG NAM LEE Chiropractor 571-276-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |