Organization
CORNERSTONE THERAPY & BALANCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE R MOORE DPT (OWNER/THERAPIST)
(276) 698-3104
Entity
Organization
Contact information
Practice address
25298 LEE HWY, ABINGDON, VA 24211-7460
(276) 698-3104
Mailing address
25298 LEE HWY, ABINGDON, VA 24211-7460
(276) 698-3104
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2305203632
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193685
ANTHEM BCBS
VA
01
—
C09591
MEDICARE LEGACY PIN
VA
01
—
TN0101
UNITED HEALTHCARE/JOHN DE
VA
Enumeration date
07/17/2007
Last updated
03/12/2014
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