Healthsource of Leesburg LLC

NPI #1851690549 in Winchester, Virginia

Provider Information

NPI Number: 1851690549
Entity Type: Organization
Organization Name: Healthsource of Leesburg LLC
Primary Specialty: Chiropractor
Enumeration Date: Mar 21, 2011
Last Updated: Apr 29, 2011

Practice Location

Address: 609 CEDAR CREEK GRADE STE B
City: Winchester
State: Virginia
ZIP Code: 22601-2721
Phone: (540) 545-7891

Authorized Official

Name: MR. MICHAEL A PASTERNACK
Title: SOLE MEMBER
Phone: (540) 545-7891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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