Organization
BALANCE THERAPY OF TEXAS
Active
Other names
360 Balance, Balance Therapy of Texas, PA
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT D'ANN WALLACE PT (PRESIDENT)
(512) 345-4664
Entity
Organization
Contact information
Practice address
4601 SPICEWOOD SPRINGS RD STE 2-100, AUSTIN, TX 78759-7847
(512) 345-4664
(512) 345-6150
Mailing address
4601 SPICEWOOD SPRINGS RD STE 2-100, AUSTIN, TX 78759-7847
(512) 345-4664
(512) 345-6150
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1104610
TX
231H00000X
Audiologist
51455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050HV
BCBS GROUP #
TX
01
—
7362436
CIGNA #
TX
Enumeration date
05/23/2006
Last updated
04/23/2024
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