Wave Of Life Chiropractic Center

NPI 1053717538 - Chiropractor - 111NP0017X

NPI Details
NPI 1053717538
Enumeration Date 11/12/2014
Last Updated 11/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CARLY CARLY
Position OWNER/CHIROPRACTOR
Phone (757) 358-0700
Fax
Practice Location
4640 SHORE DR
STE 106
VIRGINIA BEACH VA, 23455-2859, US
Phone (757) 358-0700
Fax
Business Location
3809 JEFFERSON BLVD
VIRGINIA BEACH VA, 23455-1605, US
Phone
Fax
Toxanomy
Taxonomy Code 111NP0017X
License State Virginia
License Number 0104557053
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According to our database, Wave Of Life Chiropractic Center NPI is 1053717538, taxonomy code is 111NP0017X and license number is 0104557053, license state is located at Virginia. Wave Of Life Chiropractic Center physically located at 4640 Shore Dr, Virginia Beach VA, 23455-2859. NPI Number 1033115704 has the healthcare provider type.

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1053717538 NPI number is provided on an as is basis without warranty of any kind. 1053717538 is maintained by the National Plan & Provider Enumeration System. The contents of Wave Of Life Chiropractic Center are for informational purposes only.