Organization
SPORTS INJURY THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WEI P PENG LAC (PRESIDENT)
(703) 461-7109
Entity
Organization
Contact information
Practice address
4600 DUKE ST, SUITE 423, ALEXANDRIA, VA 22304-2552
(703) 461-7109
(703) 461-7331
Mailing address
4600 DUKE ST, SUITE 423, ALEXANDRIA, VA 22304-2552
(703) 461-7109
(703) 461-7331
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000209
VA
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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