Organization
BALANCE DIZZINESS & PHYSICAL THERAPY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE FERNANDO OTR (MANAGING MEMBER)
(409) 899-1100
Entity
Organization
Contact information
Practice address
3560 DELAWARE ST, SUITE 1002, BEAUMONT, TX 77706-3067
(409) 899-1100
(409) 899-1120
Mailing address
3560 DELAWARE ST, SUITE 1002, BEAUMONT, TX 77706-3067
(409) 899-1100
(409) 899-1120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1113884
TX
225X00000X
Occupational Therapist
108802
TX
Other
Enumeration date
08/10/2009
Last updated
02/06/2010
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