Provider Demographics
NPI:1477341154
Name:CORE INTEGRATIVE CARE & WELLNESS, INC.
Entity type:Organization
Organization Name:CORE INTEGRATIVE CARE & WELLNESS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:WOOGI
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-865-6455
Mailing Address - Street 1:14153 ROBERT PARIS CT STE A
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-4225
Mailing Address - Country:US
Mailing Address - Phone:703-865-6455
Mailing Address - Fax:703-649-6455
Practice Address - Street 1:14153 ROBERT PARIS CT STE A
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-4225
Practice Address - Country:US
Practice Address - Phone:703-865-6455
Practice Address - Fax:036-496-4557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty