Virginia Sports Chiropractic of Fairfax, PC

NPI #1497181077 in Fairfax, Virginia

Provider Information

NPI Number: 1497181077
Entity Type: Organization
Organization Name: Virginia Sports Chiropractic of Fairfax, PC
Primary Specialty: Chiropractor
Enumeration Date: Sep 16, 2013
Last Updated: Sep 24, 2013

Practice Location

Address: 4211 FAIRFAX CORNER AVE E STE 200
City: Fairfax
State: Virginia
ZIP Code: 22030-8630
Phone: (703) 222-6211

Authorized Official

Name: HOLLY DANEEN MORIARTY, DC DACBSP
Title: OWNER
Phone: (703) 675-7179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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