Advanced Chiropractic & Sports Therapy, INC
Chiropractor, Sports Physician in Washington, DC. Organization (NPI-2).
NPI number1184900508
StatusActive
Last updated in NPPESOct 31, 2011
Details
- NPI
- 1184900508
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Chiropractic & Sports Therapy, INC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2011
- Last updated
- Oct 31, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | CH30034 | DC | Yes |
Practice location
1001 Connecticut Ave NwSuite 228
Washington, DC 20036-5504
Phone 202-293-8400
Mailing address
1001 Connecticut Ave NwSuite 228
Washington, DC 20036-5504
Phone 202-293-8400
Authorized official
Oliver Cecil Roberson
Owner
2022938400
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