Organization
NOVA CHIROPRACTIC GROUP PLC
Active
Other names
Reston Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ANDREW WIRTANEN D.C. (OWNER)
(703) 568-5793
Entity
Organization
Contact information
Practice address
11700 BOWMAN GREEN DR, RESTON, VA 20190-3501
(571) 375-2630
Mailing address
11700 BOWMAN GREEN DR, RESTON, VA 20190-3501
(703) 288-1702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555736
VA
Other
Enumeration date
08/06/2007
Last updated
09/09/2014
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