Organization
POTOMAC PHYSICAL MEDICINE
Active
Other names
Potomac Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FONTAINE DC (DOCTOR/OWNER)
(571) 982-3354
Entity
Organization
Contact information
Practice address
113 N HENRY ST, ALEXANDRIA, VA 22314-2903
(571) 234-9319
Mailing address
113 N HENRY, ALEXANDRIA, VA 22314
(571) 982-3354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556931
VA
Other
Enumeration date
03/12/2015
Last updated
01/06/2023
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