Organization
PERFORMANCE HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD SULLIVAN SULLIVAN D.C. (OWNER/DOCTOR)
(703) 912-7822
Entity
Organization
Contact information
Practice address
5288 LYNGATE CT, BURKE, VA 22015-1688
(703) 912-7822
(703) 995-0357
Mailing address
5288 LYNGATE CT, BURKE, VA 22015-1688
(703) 912-7822
(703) 995-0357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556458
VA
Other
Enumeration date
12/31/2007
Last updated
07/30/2018
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