Life Clinic of Va PC

NPI #1679037972 in Gainesville, Virginia

Provider Information

NPI Number: 1679037972
Entity Type: Organization
Organization Name: Life Clinic of Va PC
Primary Specialty: Chiropractor
Enumeration Date: Jan 31, 2019
Last Updated: Feb 1, 2019

Practice Location

Address: 7801 LIMESTONE DR
City: Gainesville
State: Virginia
ZIP Code: 20155-4050
Phone: (952) 229-7464

Authorized Official

Name: REZA ALIZADEH
Title: OWNER
Phone: (952) 229-7464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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