Organization
VIRGINIA SPORTS CHIROPRACTIC OF FAIRFAX, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DANEEN MORIARTY DC DACBSP (OWNER)
(703) 675-7179
Entity
Organization
Contact information
Practice address
4211 FAIRFAX CORNER AVE E STE 200, FAIRFAX, VA 22030-8630
(703) 222-6211
(703) 738-7499
Mailing address
4211 FAIRFAX CORNER AVE E STE 200, FAIRFAX, VA 22030-8630
(703) 222-6211
(703) 738-7499
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
104556132
VA
Other
Enumeration date
09/16/2013
Last updated
09/24/2013
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