# IN BALANCE PHYSICAL THERAPY AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558722397
- **Authorized official:** MRS. JODI SAMARA BERGER PT (PRESIDENT)
- **Authorized official phone:** (443) 948-6609

## Contact information

- **Practice address:** 3455 WILKENS AVE, SUITE 200, BALTIMORE, MD 21229-5213
- **Practice address phone:** (443) 948-6609
- **Practice address fax:** (443) 948-6610
- **Mailing address:** 3455 WILKENS AVE, SUITE 200, BALTIMORE, MD 21229-5213
- **Mailing address phone:** (443) 948-6609
- **Mailing address fax:** (443) 948-6610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 19223 | MD | Yes |

## Other

- **Enumeration date:** 03/07/2016
- **Last updated:** 06/07/2016