Organization Name: | BALANCE AND FALL PREVENTION CLINIC, INC |
NPI Number: | 1154692747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY THERESA STOUT (CEO/THERAPIST) |
Mailing Address: | 173 S Market St Elysburg |
State: | PA US |
Postal Code: | 178249757 |
Phone Number: | 5706722277 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2012 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT001749E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |