Organization
DYNAMIC REHAB AND SPINE, LLC
Active
Other names
Dynamic Rehab and Spine Chantilly, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M ERLE DC (OWNER)
(540) 373-1303
Entity
Organization
Contact information
Practice address
2380 PLANK RD, A, FREDERICKSUBURG, VA 22401
(540) 373-1303
(540) 373-6061
Mailing address
2380 PLANK RD, A, FREDERICKSUBURG, VA 22401
(540) 373-1303
(540) 373-6061
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104556636
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VV7411B612
MEDICARE
VA
Enumeration date
03/04/2014
Last updated
10/13/2015
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