# PEAK BALANCE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1770294951
- **Authorized official:** DR. NEENA MARIE PETERSEN PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (240) 712-8697

## Contact information

- **Practice address:** 403 BEN OAKS DR W, SEVERNA PARK, MD 21146-2208
- **Practice address phone:** (240) 712-8697
- **Practice address fax:** (443) 645-0716
- **Mailing address:** 403 BEN OAKS DR W, SEVERNA PARK, MD 21146-2208
- **Mailing address phone:** (240) 712-8697
- **Mailing address fax:** (443) 645-0716

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2022
- **Last updated:** 07/29/2023
