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Organization

OPTIMUM CHIROPRACTIC AND HEALTH CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REZA NIKPOUR D.C. (DOCTOR/OWNER)
(703) 658-0967
Entity
Organization

Contact information

Practice address
7700 LITTLE RIVER TPKE, SUITE 102, ANNANDALE, VA 22003-2406
(703) 658-0967
(703) 658-0969
Mailing address
7700 LITTLE RIVER TPKE, SUITE 102, ANNANDALE, VA 22003-2406
(703) 658-0967
(703) 658-0969

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556086
VA

Other

Enumeration date
12/28/2007
Last updated
03/16/2010
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