Organization
WAVE OF LIFE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLY SWIFT D.C. (OWNER/CHIROPRACTOR)
(757) 358-0700
Entity
Organization
Contact information
Practice address
4640 SHORE DR, STE 106, VIRGINIA BEACH, VA 23455-2859
(757) 358-0700
Mailing address
3809 JEFFERSON BLVD, VIRGINIA BEACH, VA 23455-1605
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
0104557053
VA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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