Organization
AUTO INJURY REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SU MIN KO MD (MEDICAL DIRECTOR)
(347) 325-4390
Entity
Organization
Contact information
Practice address
7535 LITTLE RIVER TPKE STE 100C, ANNANDALE, VA 22003-2976
(703) 214-1000
Mailing address
7535 LITTLE RIVER TPKE STE 100C, ANNANDALE, VA 22003-2976
(703) 214-1000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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