Provider Demographics
NPI:1538527536
Name:REILLY, ANN OLIVIA (DC)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:OLIVIA
Last Name:REILLY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8381 OLD COURTHOUSE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3830
Mailing Address - Country:US
Mailing Address - Phone:703-760-8110
Mailing Address - Fax:703-760-8111
Practice Address - Street 1:2136 GALLOWS RD STE A
Practice Address - Street 2:
Practice Address - City:DUNN LORING
Practice Address - State:VA
Practice Address - Zip Code:22027-1036
Practice Address - Country:US
Practice Address - Phone:703-919-6753
Practice Address - Fax:703-760-8111
Is Sole Proprietor?:No
Enumeration Date:2016-02-04
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor