Back To Balance Llc

NPI 1053610303 - Clinic/Center - 261QP2000X

NPI Details
NPI 1053610303
Enumeration Date 03/24/2011
Last Updated 04/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name NANCY NANCY
Position PHYSICAL THERAPIST/SOLE PROPRIETOR
Phone (301) 929-9231
Fax (301) 929-9231
Practice Location
4701 JASMINE DR
ROCKVILLE MD, 20853-1740, US
Phone (301) 929-9231
Fax (301) 929-9231
Business Location
4701 JASMINE DR
ROCKVILLE MD, 20853-1740, US
Phone (301) 929-9231
Fax (301) 929-9231
Toxanomy
Taxonomy Code 261QP2000X
License State Maryland
License Number 17977
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According to our database, Back To Balance Llc NPI is 1053610303, taxonomy code is 261QP2000X and license number is 17977, license state is located at Maryland. Back To Balance Llc physically located at 4701 Jasmine Dr, Rockville MD, 20853-1740. NPI Number 1033115704 has the healthcare provider type.

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1053610303 NPI number is provided on an as is basis without warranty of any kind. 1053610303 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Balance Llc are for informational purposes only.