# IN BALANCE PHYSICAL THERAPY AND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1588890065
- **Authorized official:** MRS. JODI SAMARA BERGER MPT (DIRECTOR)
- **Authorized official phone:** (443) 948-6609

## Contact information

- **Practice address:** 21 CROSSROADS DR STE 210, OWINGS MILLS, MD 21117
- **Practice address phone:** (443) 948-6609
- **Practice address fax:** (443) 948-6610
- **Mailing address:** 21 CROSSROADS DR STE 210, OWINGS MILLS, MD 21117-5483
- **Mailing address phone:** (443) 948-6609
- **Mailing address fax:** (443) 948-6610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 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