Organization
EVOLVE REHABILITATION & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI PAJOUHESH (CHIROPRACTOR)
(202) 440-2939
Entity
Organization
Contact information
Practice address
2735 HARTLAND RD, SUITE 100, FALLS CHURCH, VA 22043-3542
(202) 440-2939
Mailing address
4173 VERNOY HILLS RD, FAIRFAX, VA 22033-4395
(202) 440-2939
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0104557003
VA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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