Organization
BODY IN BALANCE PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WENGER DPT (OWNER)
(631) 232-5350
Entity
Organization
Contact information
Practice address
611 OLD WILLETS PATH, HAUPPAUGE, NY 11788
(631) 232-5350
Mailing address
611 OLD WILLETS PATH, SUITE 105, HAUPPAUGE, NY 11788-4105
(631) 232-5350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013416-1
NY
Other
Enumeration date
11/01/2006
Last updated
12/13/2013
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