OrganizationActive
Integrative Hyperbaric & Wound Care LLC
NPI 1922494459 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Vienna, VA
Provider details
- NPI number
- 1922494459
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Virginia Functional Medicine Inc
- Authorized official
- Calista Petrie, Case Manager
Practice location
410 Pine St Se
Suite 330
Vienna, VA 22180-4861
Phone: (703) 938-1421
Fax: (703) 938-1424
Mailing address
410 Pine St Se
Vienna, VA 22180-4861
Registry dates
- Enumerated
- 2015-04-10
- Last updated
- 2024-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.