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Organization
IN BALANCE PHYSICAL THERAPY AND WELLNESS CENTER LLC
Active
Organization
IN BALANCE PHYSICAL THERAPY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI SAMARA BERGER MPT (DIRECTOR)
(443) 948-6609
Entity
Organization
Contact information
Practice address
21 CROSSROADS DR STE 210, OWINGS MILLS, MD 21117
(443) 948-6609
(443) 948-6610
Mailing address
21 CROSSROADS DR STE 210, OWINGS MILLS, MD 21117-5483
(443) 948-6609
(443) 948-6610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
NULL
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
NULL
2251G0304X
Geriatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
227800000X
Certified Respiratory Therapist
—
NULL
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
NULL
227900000X
Registered Respiratory Therapist
—
—
Other
Enumeration date
06/10/2009
Last updated
05/14/2018
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