Organization
CAPITOL REHAB CENTER OF HERNDON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JI HYUNG YOO DC (OWNER)
(703) 787-3850
Entity
Organization
Contact information
Practice address
459 HERNDON PKWY, SUITE 15, HERNDON, VA 20170-6220
(703) 787-3850
(703) 787-3851
Mailing address
171 ELDEN ST STE 3A3, HERNDON, VA 20170-4869
(703) 787-3850
(703) 787-3851
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104556197
VA
Other
Enumeration date
11/12/2008
Last updated
10/30/2023
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