Organization
COMPLETE SPINAL CARE & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONYA TAVAKOLI DC (CHIROPRACTOR)
(571) 398-6343
Entity
Organization
Contact information
Practice address
12662 DARBY BROOK COURT, WOODBRIDGE, VA 22192
(571) 398-6343
Mailing address
12662 DARBY BROOK COURT, WOODBRIDGE, VA 22192
(571) 398-6343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557229
VA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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