Organization
PHYSIO BALANCE AND SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERRELLE LEE WYATT PT, DPT (PHYSICAL THERAPIST)
(330) 942-3316
Entity
Organization
Contact information
Practice address
1587 BOETTLER RD STE 140, UNIONTOWN, OH 44685
(330) 687-6891
(330) 362-2623
Mailing address
1587 BOETTLER RD STE 140, UNIONTOWN, OH 44685-7823
(330) 687-6891
(330) 362-2623
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
07/16/2020
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