Organization
BALANCE REHAB PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISHAM RADWAN PT,DPT (PRESIDENT)
(703) 660-1366
Entity
Organization
Contact information
Practice address
7202 FORDSON RD, ALEXANDRIA, VA 22306-7217
(703) 660-1366
(703) 660-8666
Mailing address
7202 FORDSON RD, ALEXANDRIA, VA 22306-7217
(703) 660-1366
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305205237
VA
Other
Enumeration date
10/01/2012
Last updated
03/12/2014
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