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Organization

NOVA PAIN & REHAB CENTER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KARLA M HERAUD (OFFICE MANAGER)
(703) 535-8887
Entity
Organization

Contact information

Practice address
14290 SULLYFIELD CIR, SUITE 100, CHANTILLY, VA 20151-4000
(703) 434-9324
(703) 933-3745
Mailing address
14290 SULLYFIELD CIR, SUITE 100, CHANTILLY, VA 20151-4000
(703) 434-9324
(703) 933-3745

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary

Other

Enumeration date
11/15/2006
Last updated
08/22/2020
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