# ANDOLINA CHIROPRACTIC & REHAB

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

## Provider details

- **NPI number:** 1518387661
- **Authorized official:** DR. NICHOLAS JAMES ANDOLINA D.C. (OWNER)
- **Authorized official phone:** (607) 382-3051

## Contact information

- **Practice address:** 1455 OLD BRIDGE RD STE 202, WOODBRIDGE, VA 22192-2727
- **Practice address phone:** (703) 490-8383
- **Practice address fax:** (703) 490-8688
- **Mailing address:** 1455 OLD BRIDGE RD STE 202, WOODBRIDGE, VA 22192-2727
- **Mailing address phone:** (703) 490-8383
- **Mailing address fax:** (703) 490-8688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 0104556837 | VA | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014