Nova Ideal Spine

NPI #1205350469 in Lansdowne, Virginia

Provider Information

NPI Number: 1205350469
Entity Type: Organization
Organization Name: Nova Ideal Spine
Primary Specialty: Chiropractor
Enumeration Date: Jul 31, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 19301 WINMEADE DR STE 214
City: Lansdowne
State: Virginia
ZIP Code: 20176-6503
Phone: (571) 707-8639

Authorized Official

Name: JEANNE PHELPS
Title: OFFICE MANAGER
Phone: (571) 707-8639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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