Organization
ADVANCED CHIROPRACTIC & SPORTS REHABILITATION
Active
Other names
Advanced Chiropractic & Sports Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KENNEDY DC (CO-OWNER/DOCTOR)
(631) 875-3993
Entity
Organization
Contact information
Practice address
22611 MARKEY CT STE 105, STERLING, VA 20166-6925
(631) 875-3993
Mailing address
23548 BELVOIR WOODS TER, ASHBURN, VA 20148-7493
(631) 875-3993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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