Organization
JEFFERSON DAVIS CHIROPRACTIC & PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA HATAM PETERSON DC (OWNER CHIROPRACTOR)
(703) 499-8840
Entity
Organization
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, #301, WOODBRIDGE, VA 22191
(703) 499-8840
(703) 499-8842
Mailing address
14904 JEFFERSON DAVIS HWY, #301, WOODBRIDGE, VA 22102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001683
VA
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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