Organization
CAPITOL REHAB ANNANDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD REZA KOMAILY DC (PRESIDENT)
(703) 333-5022
Entity
Organization
Contact information
Practice address
6940A BRADLICK SHOPPING CTR, ANNANDALE, VA 22003-7205
(703) 333-5022
Mailing address
6940A BRADLICK SHOPPING CTR, ANNANDALE, VA 22003-7205
(703) 333-5022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556483
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245391226
NPI - DR JEREMY SCHMIDT
VA
01
—
1487735007
NPI - DR. MO KOMAILY
VA
Enumeration date
01/02/2007
Last updated
02/11/2010
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