Organization
YOUNG ENTERPRISES
Active
Other names
Health and Fitness Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NATHALIE OKHOWAT (OFFICE MANAGER)
(301) 770-9601
Entity
Organization
Contact information
Practice address
6137 EXECUTIVE BLVD, ROCKVILLE, MD 20852
(301) 770-6901
(301) 770-9540
Mailing address
6137 EXECUTIVE BLVD, ROCKVILLE, MD 20852
(301) 770-6901
(301) 770-9540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104555714
VA
111N00000X
Chiropractor
Primary
01979
MD
111NN0400X
Neurology Chiropractor
0104555714
VA
111NN0400X
Neurology Chiropractor
01979
MD
111NR0400X
Rehabilitation Chiropractor
0104555714
VA
111NR0400X
Rehabilitation Chiropractor
01979
MD
111NS0005X
Sports Physician Chiropractor
0104555714
VA
111NS0005X
Sports Physician Chiropractor
01979
MD
111NX0100X
Occupational Health Chiropractor
0104555714
VA
111NX0100X
Occupational Health Chiropractor
01979
MD
111NX0800X
Orthopedic Chiropractor
0104555714
VA
111NX0800X
Orthopedic Chiropractor
01979
MD
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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