Organization
KINETIC BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE WYCOFF PT (OWNER)
(703) 994-4834
Entity
Organization
Contact information
Practice address
39149 FRY FARM RD, LOVETTSVILLE, VA 20180
(703) 994-4834
(703) 649-6049
Mailing address
39149 FRY FARM RD, LOVETTSVILLE, VA 20180-2749
(703) 994-4834
(703) 649-6049
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305204182
VA
Other
Enumeration date
11/23/2009
Last updated
07/13/2018
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