OrganizationActive
Nova Pain & Rehab Center, PLLC
NPI 1124190053 · Sports Physician Chiropractor · Chantilly, VA
Provider details
- NPI number
- 1124190053
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Authorized official
- Karla Heraud, Office Manager
Practice location
14290 Sullyfield Cir
Suite 100
Chantilly, VA 20151-4000
Phone: (703) 434-9324
Fax: (703) 933-3745
Mailing address
14290 Sullyfield Cir
Chantilly, VA 20151-4000
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.