Organization
NEUROGROW BRAIN FITNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BITA FOTUHI (CFO)
(703) 462-9296
Entity
Organization
Contact information
Practice address
8280 GREENSBORO DR, SUITE 240, MC LEAN, VA 22102-4905
(703) 462-9296
(703) 462-9269
Mailing address
8280 GREENSBORO DR, SUITE 240, MC LEAN, VA 22102-4905
(703) 462-9296
(703) 462-9269
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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