NPI 1871861245
Axiom Link
Practice location
- Address
- 11240 Waples Mill Rd Suite 101, Fairfax, VA 22030
- Phone
- (703) 237-2219
- Fax
- (703) 237-2729
Authorised official
- Name
- Julia S. Matuza
- Title
- Ceo
- Phone
- (718) 762-7633
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1871861245
- Entity type
- Organization
- NPI issued
- 13 Dec 2011
- Record last updated
- 9 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.