Organization
FAMILY AND SPORT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WETZEN (OWNER/CHIROPACTOR)
(703) 560-4730
Entity
Organization
Contact information
Practice address
300 N WASHINGTON ST, SUITE #103, FALLS CHURCH, VA 22046-4426
(703) 560-4730
Mailing address
2727 MERRILEE DRIVE,, UNIT 421, FAIRFAX, VA 22031-8142
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557359
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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