Organization
VIRGINIA SPORTS AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID MOHAMMADI D.C. (OWNER)
(571) 344-3744
Entity
Organization
Contact information
Practice address
10387 MAIN ST, LL2, FAIRFAX, VA 22030-2453
(571) 344-3744
Mailing address
10387 MAIN ST, LL2, FAIRFAX, VA 22030-2453
(571) 344-3744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557077
VA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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