| Doctor Name: | HENRY BALAVENDER |
| NPI Number: | 1427133594 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1676 |
| Business Practice Address: | 44 Dale Rd Suite 203 Avon, CT - 060013612 |
| Business Phone Number: | 8606741713 |
| Business Fax Number: | 8606741848 |
| Mailing Address: | 27 Depot St, WATERTOWN |
| State: | CT |
| Postal Code: | 067952601 |
| Phone Number: | 8602744092 |
| Fax Number: | 8602744099 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 10/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |