# PRINCE WILLIAM CHIROPRACTIC CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487944070
- **Authorized official:** MRS. JANET M PETITTO (MANAGER)
- **Authorized official phone:** (703) 491-2400

## Contact information

- **Practice address:** 2026 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3332
- **Practice address phone:** (703) 491-8888
- **Practice address fax:** (703) 491-2244
- **Mailing address:** 2026 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3332
- **Mailing address phone:** (703) 491-8888
- **Mailing address fax:** (703) 491-2244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 0104000545 | VA | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2011
- **Last updated:** 04/11/2024