Organization
ALTERNATIVE WELLNESS CLINIC
Active
Organization
ALTERNATIVE WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD RENE GAUTHIER D.C. (CEO)
(703) 404-1807
Entity
Organization
Contact information
Practice address
2 PIDGEON HILL DR, SUITE 280, STERLING, VA 20165-6145
(703) 404-1807
(703) 404-1827
Mailing address
2 PIDGEON HILL DR, SUITE 280, STERLING, VA 20165-6145
(703) 404-1807
(703) 404-1827
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
01014555777
VA
Other
Enumeration date
05/15/2007
Last updated
06/12/2008
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