Organization
BALANCED BODY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN GEORGE MCCARTHY PT (REGISTERED AGENT OF LLC)
(608) 935-0687
Entity
Organization
Contact information
Practice address
208 NORTH WINSTED STREET, SPRING GREEN, WI 53588
(608) 341-9881
Mailing address
4329 GREEN LEAF DR, DODGEVILLE, WI 53533-8966
(608) 935-0687
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4129 AND 4203
WI
Other
Enumeration date
06/27/2007
Last updated
09/20/2007
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