Organization Name: | BALANCED HEALTH PHYSICAL THERAPY |
NPI Number: | 1144625401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY E MCCORMICK (SOLE MEMBER) |
Mailing Address: | 41 Arterial Plz Gloversville |
State: | NY US |
Postal Code: | 120782512 |
Phone Number: | 5187759554 |
Fax Number: | 5187737747 |
NPI Enumeration Date: | 10/29/2014 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 011442-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |