Provider Demographics
NPI:1710014600
Name:SKRZYPEK, ROZALIA (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:ROZALIA
Middle Name:
Last Name:SKRZYPEK
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3174 GOLANSKY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-4264
Mailing Address - Country:US
Mailing Address - Phone:703-730-9700
Mailing Address - Fax:703-730-9700
Practice Address - Street 1:3174 GOLANSKY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4264
Practice Address - Country:US
Practice Address - Phone:703-730-9700
Practice Address - Fax:703-730-9700
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000830111N00000X
VA0121000231171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist