Organization
PRINCE WILLIAM CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET M PETITTO (MANAGER)
(703) 491-2400
Entity
Organization
Contact information
Practice address
2026 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3332
(703) 491-8888
(703) 491-2244
Mailing address
2026 OPITZ BLVD STE B, WOODBRIDGE, VA 22191-3332
(703) 491-8888
(703) 491-2244
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
0104000545
VA
261QM2500X
Medical Specialty Clinic/Center
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Other
Enumeration date
04/15/2011
Last updated
04/11/2024
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