# ACUPUNCTURE & HERBS CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164835807
- **Authorized official:** MR. THUONG PHU L.AC. (ACUPUNCTURIST)
- **Authorized official phone:** (703) 989-9711

## Contact information

- **Practice address:** 7535 LITTLE RIVER TPKE STE 103A, ANNANDALE, VA 22003-2983
- **Practice address phone:** (571) 287-1764
- **Mailing address:** 5730 BACKLICK RD APT 202, SPRINGFIELD, VA 22150-3256
- **Mailing address phone:** (703) 989-9711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | AC500174 | DC | Yes |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 06/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1611 WDC 20010 | WDC | — |