Organization Name: | BALANCED PHYSICAL THERAPY INC |
NPI Number: | 1225245749 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER ELIZABETH CHOWANIEC (CEO PHYSICAL THERAPIST) |
Mailing Address: | 12940 W Campbell Ave Litchfield Park |
State: | AZ US |
Postal Code: | 853405184 |
Phone Number: | 6024322567 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 5529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |