Organization Name: | LIFE IN BALANCE, LLC |
NPI Number: | 1790098879 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONNIE L ONYANGO (PATIENT CARE COORDINATOR) |
Mailing Address: | 5838 W Brick Rd Suite 104-b South Bend |
State: | IN US |
Postal Code: | 466288423 |
Phone Number: | 5742558060 |
Fax Number: | 5742558602 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |