Organization
BALANCE SPORT & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIANA BACKUS (MANAGING MEMBER)
(202) 674-0644
Entity
Organization
Contact information
Practice address
6862 ELM ST, SUITE 600, MC LEAN, VA 22101-3897
(202) 674-0644
Mailing address
6862 ELM ST, SUITE 600, MC LEAN, VA 22101-3897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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