Organization
JODY FORMAN, MSW, L.AC., PLLC
Active
Other names
Charlottesville Healing Arts
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY FORMAN MSW.,L.AC., PLLC (LICENSED ACUPUNCTURIST)
(434) 975-0025
Entity
Organization
Contact information
Practice address
355 WEST RIO RD, SUITE 206A, CHARLOTTESVILLE, VA 22901-1362
(434) 975-0025
Mailing address
355 WEST RIO RD, SUITE 206A, CHARLOTTESVILLE, VA 22901-1362
(434) 975-0025
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000011
VA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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