Organization
NOVA FUNCTIONAL SPORTS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE ELLEN PAVALKIS DC (DOCTOR OF CHIROPRACTIC)
(315) 577-2427
Entity
Organization
Contact information
Practice address
44645 GUILFORD DR STE 211, ASHBURN, VA 20147-6020
(315) 577-2427
Mailing address
44645 GUILFORD DR STE 211, ASHBURN, VA 20147-6020
(703) 831-7036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
06/07/2022
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