Organization
MA CHIROPRACTIC & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH MA D.C (CEO)
(703) 409-0304
Entity
Organization
Contact information
Practice address
3609 CHAIN BRIDGE SUITE E, FAIRFAX, VA 22030
(703) 409-0304
Mailing address
3609 CHAIN BRIDGE SUITE E, FAIRFAX, VA 22030
(703) 409-0304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556728
VA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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