Organization
THE CENTER FOR BODIES IN BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELIZABETH MARCINKOWSKI PT (OWNER/CEO)
(603) 319-8334
Entity
Organization
Contact information
Practice address
1 GREENLEAF WOODS DR, SUITE 101, PORTSMOUTH, NH 03801-5437
(603) 319-8334
Mailing address
1 GREENLEAF WOODS DR, SUITE 101, PORTSMOUTH, NH 03801-5437
(603) 319-8334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0714
NH
2251S0007X
Sports Physical Therapist
0714
NH
2251X0800X
Orthopedic Physical Therapist
0714
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y003086NH 02
ANTHEM
NH
01
—
0948405
CIGNA
—
01
—
4650011
AETNA
—
01
—
813530
FIRST HEALTH & CCN NETWOR
—
01
—
AA49359
HARVARD PILGRIM HEALTH CA
—
Enumeration date
04/21/2007
Last updated
04/07/2015
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