Organization
BALANCE KINETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABEL COSTAS BORROMEO V DC (MANAGING MEMBER)
(540) 550-3656
Entity
Organization
Contact information
Practice address
125 PROSPERITY DRIVE, SUITE 700, WINCHESTER, VA 22602
(540) 323-7957
(540) 323-7956
Mailing address
125 PROSPERITY DRIVE, SUITE 700, WINCHESTER, VA 22602
(540) 323-7957
(540) 323-7956
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104556472
VA
335E00000X
Prosthetic/Orthotic Supplier
0104556472
VA
Other
Enumeration date
04/15/2011
Last updated
02/01/2018
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