Organization
FORTIFY CHIROPRACTIC AND SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER J GRIVAS DC (OWNER OF ENTITY)
(703) 755-0545
Entity
Organization
Contact information
Practice address
43130 AMBERWOOD PLZ STE 105, CHANTILLY, VA 20152-4106
(703) 755-0545
(703) 991-9179
Mailing address
43130 AMBERWOOD PLZ STE 105, CHANTILLY, VA 20152-4106
(703) 755-0545
(703) 991-9179
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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