The Active Chiropractic Clinic
NPI #1174649602 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1174649602
- Entity Type
- Organization
- Organization Name
- The Active Chiropractic Clinic
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5864 MAPLEDALE PLZ
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22193-4535
- Phone
- (703) 680-3332
Authorized Official
- Name
- DR. GREGORY SCOTT PETRUZZI, D.C.
- Title
- OWNER
- Phone
- (703) 680-3332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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