MEDICARE: QUALITY CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NS0005X	Sports Physician Chiropractor		VA

General Provider Information

NPI Number	:	1578556270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1440 ROSEWOOD HILL DR
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-1446
Country	:	US
Telephone Number	:	703-757-9270
Fax Number	:	703-757-9861

Provider Business Practice Location Address
First Line	:	6231 LEESBURG PIKE
Second Line	:	SUITE 2014
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2102
Country	:	US
Telephone Number	:	703-237-0404
Fax Number	:	703-237-7828

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAMILLE THERESA D'AMATO
Credential	:	DC
Telephone Number	:	703-237-0404

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	08/22/2020

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Directions to “QUALITY CHIROPRACTIC ” Practice Location

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