Organization
BALANCED OUTPATIENT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SILVER PT (PRESIDENT)
(609) 306-9750
Entity
Organization
Contact information
Practice address
1142 JENSEN DR # 101, VIRGINIA BEACH, VA 23451-5872
(757) 965-9942
(757) 222-1103
Mailing address
1142 JENSEN DR # 101, VIRGINIA BEACH, VA 23451-5872
(757) 965-9942
(757) 222-1103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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