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Organization

EASTERN CRANIAL AFFILIATES, LLC

Active
Parent organization
EASTERN CRANIAL AFFILIATES, LLC
Other names
Infinite Life
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTERN CRANIAL AFFILIATES, LLC
Authorized official
JOSEPH TERPENNING (OWNER)
(703) 807-5899
Entity
Organization

Contact information

Practice address
10523 MAIN ST, FAIRFAX, VA 22030-3310
(703) 807-5899
(703) 807-1183
Mailing address
10523 MAIN ST, FAIRFAX, VA 22030-3310
(703) 807-5899
(703) 807-1183

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
06/16/2017
Last updated
07/21/2022
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