Provider Demographics
NPI:1932733839
Name:ALEXANDRIA CHIROPRACTIC CLINIC & REHAB, LLC
Entity Type:Organization
Organization Name:ALEXANDRIA CHIROPRACTIC CLINIC & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROIKETA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STRAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-370-5335
Mailing Address - Street 1:101 S WHITING ST STE 213
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3416
Mailing Address - Country:US
Mailing Address - Phone:703-370-5335
Mailing Address - Fax:
Practice Address - Street 1:101 S WHITING ST STE 213
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3416
Practice Address - Country:US
Practice Address - Phone:703-370-5335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty