Active Family Chiroparctic

NPI #1073771176 in Reston, Virginia

Provider Information

NPI Number: 1073771176
Entity Type: Organization
Organization Name: Active Family Chiroparctic
Primary Specialty: Chiropractor
Enumeration Date: May 27, 2008
Last Updated: Sep 26, 2008

Practice Location

Address: 11790 BARON CAMERON AVE STE J
City: Reston
State: Virginia
ZIP Code: 20190-5873
Phone: (703) 689-3500

Authorized Official

Name: BLANCA L QUINTANILLA
Title: INSURANCE MANAGER
Phone: (703) 689-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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