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Organization

RECHARGE WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE SHORT DC (OWNER)
(703) 481-4400
Entity
Organization

Contact information

Practice address
19945 RIVERSIDE COMMONS PLZ STE 100, ASHBURN, VA 20147-5146
(703) 481-4400
(703) 935-0430
Mailing address
18328 BUCCANEER TER, LEESBURG, VA 20176-8474
(703) 481-4400
(703) 935-0430

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
0104555886
VA

Other

Enumeration date
02/10/2012
Last updated
11/12/2025
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