Organization
ELITE SPINE AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BUSCH (PRACTICE MANAGER)
(804) 592-2225
Entity
Organization
Contact information
Practice address
4906 MILLRIDGE PKWY E, MIDLOTHIAN, VA 23112-4828
(804) 592-2225
(804) 315-8726
Mailing address
PO BOX 1539, MIDLOTHIAN, VA 23113-1539
(804) 592-2225
(804) 315-8726
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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