# VIRGINIA INTEGRATIVE HEALTH & HYPERBARIC LLC

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

## Provider details

- **NPI number:** 1184173403
- **Authorized official:** MS. YVOUNE PETRIE (DIRECTOR)
- **Authorized official phone:** (703) 938-1421

## Contact information

- **Practice address:** 410 PINE ST SE, SUITE 320, VIENNA, VA 22180-4861
- **Practice address phone:** (703) 938-1421
- **Practice address fax:** (703) 938-1424
- **Mailing address:** 410 PINE ST SE, SUITE 320, VIENNA, VA 22180-4861
- **Mailing address phone:** (703) 938-1421
- **Mailing address fax:** (703) 938-1424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 0101231928 | VA | Yes |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | 0101231928 | VA | — |
| 208D00000X | General Practice Physician | 0101231928 | VA | — |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 09/28/2016