Organization
VIRGINIA SPINE REHAB LLC
Active
Parent organization
ACTIVE SPINE & REHAB, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVE SPINE & REHAB, LLC
Authorized official
DANA SHILLINGTON (CHIROPRACTOR)
(515) 326-5994
Entity
Organization
Contact information
Practice address
102 ELDEN ST STE 12, HERNDON, VA 20170-4839
(703) 435-5243
Mailing address
PO BOX 745942, ATLANTA, GA 30374-5942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/04/2021
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