# BALANCE DYNAMICS PT LLC

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

## Provider details

- **NPI number:** 1669833687
- **Authorized official:** ANNE WOLF M.S.P.T. (PHYSICAL THERAPIST)
- **Authorized official phone:** (203) 856-5460

## Contact information

- **Practice address:** 6527 MAIN ST, LOWER LEVEL, TRUMBULL, CT 06611-1385
- **Practice address phone:** (203) 856-5460
- **Mailing address:** 75 ROSEMERE AVE, FAIRFIELD, CT 06825
- **Mailing address phone:** (203) 856-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 006316 | CT | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/22/2016