Organization
ELEMENTAL WELLNESS AND SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY KNAPP (OWNER)
(401) 743-1528
Entity
Organization
Contact information
Practice address
21430 CEDAR DR STE 226, STERLING, VA 20164-8697
(703) 444-3870
Mailing address
21430 CEDAR DR STE 226, STERLING, VA 20164-8697
(703) 444-3870
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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