Fortify Chiropractic and Sports Rehab

NPI #1346987450 in Chantilly, Virginia

Provider Information

NPI Number: 1346987450
Entity Type: Organization
Organization Name: Fortify Chiropractic and Sports Rehab
Primary Specialty: Chiropractor
Enumeration Date: May 19, 2022
Last Updated: May 19, 2022

Practice Location

Address: 43130 AMBERWOOD PLZ STE 105
City: Chantilly
State: Virginia
ZIP Code: 20152-4106
Phone: (703) 755-0545

Authorized Official

Name: CHRISTOPHER J GRIVAS, DC
Title: OWNER OF ENTITY
Phone: (703) 755-0545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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