MEDICARE: CAPITOL REHAB BAILEYS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1972531622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITOL REHAB BAILEYS

Provider Business Mailing Address
First Line	:	2800 10TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2174
Country	:	US
Telephone Number	:	703-671-6038
Fax Number	:	703-671-6048

Provider Business Practice Location Address
First Line	:	2800 10TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-2174
Country	:	US
Telephone Number	:	703-671-6038
Fax Number	:	703-671-6048

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MICHAEL MOSES
Credential	:	DC
Telephone Number	:	703-671-6038

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	10/23/2012

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Directions to “CAPITOL REHAB BAILEYS ” Practice Location

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