Fortify Chiropractic And Sports Rehab | |
43130 Amberwood Plz Ste 105, Chantilly, VA 20152-4106 | |
(703) 755-0545 | |
(703) 991-9179 |
Full Name | Fortify Chiropractic And Sports Rehab |
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Type | Facility |
Speciality | Chiropractor |
Location | 43130 Amberwood Plz Ste 105, Chantilly, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346987450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Christopher Grivas |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184140501 PECOS PAC ID: 0345633954 Enrollment ID: I20220624001863 |
Mailing Address | Practice Location Address |
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Fortify Chiropractic And Sports Rehab 43130 Amberwood Plz Ste 105, Chantilly, VA 20152-4106 Ph: (703) 755-0545 | Fortify Chiropractic And Sports Rehab 43130 Amberwood Plz Ste 105, Chantilly, VA 20152-4106 Ph: (703) 755-0545 |
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Dr. Rosa Susana Lovaglio, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4080 Lafayette Center Dr, Suite 170, Chantilly, VA 20151 Phone: 703-327-9773 Fax: 703-327-8315 | |
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Dr. Jason Michael Bullock, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4200a Technology Ct, Chantilly, VA 20151 Phone: 571-528-9796 | |
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