# BODY IN BALANCE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1720528219
- **Authorized official:** SUSAN KIMBERLY CHALELA PT (PRESIDENT)
- **Authorized official phone:** (301) 704-7888

## Contact information

- **Practice address:** 125 RIVER LANDING DR, SUITE 103, DANIEL ISLAND, SC 29492-2500
- **Practice address phone:** (301) 704-7888
- **Mailing address:** 1261 SMYTHE ST, DANIEL ISLAND, SC 29492-8371
- **Mailing address phone:** (301) 704-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 5484 | SC | Yes |

## Other

- **Enumeration date:** 03/02/2017
- **Last updated:** 03/02/2017