Organization
ADVANCED BALANCE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY DENIS PT, DPT (CO-OWNER)
(734) 968-6535
Entity
Organization
Contact information
Practice address
1063 WALNUT ST, DEARBORN, MI 48124-4019
(734) 968-6535
Mailing address
1063 WALNUT ST, DEARBORN, MI 48124-4019
(734) 968-6535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016376
MI
225X00000X
Occupational Therapist
5201008590
MI
Other
Enumeration date
04/08/2016
Last updated
05/30/2016
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