Organization
BRISTOW PHYSICAL THERAPY & CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD RICHARD VAN NOSTRAND DC (CLINIC DIRECTOR)
(703) 686-4010
Entity
Organization
Contact information
Practice address
10402 BRISTOW CENTER DR., BRISTOW, VA 20136-2202
(703) 686-4010
(703) 686-4011
Mailing address
10402 BRISTOW CENTER DR., BRISTOW, VA 20136-2202
(703) 686-4010
(703) 686-4011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001138
VA
111NX0100X
Occupational Health Chiropractor
0119003872
VA
Other
Enumeration date
09/09/2010
Last updated
04/04/2013
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