Organization
ADVENTURES IN BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE M POWELL PT (OWNER)
(770) 642-9444
Entity
Organization
Contact information
Practice address
45 W CROSSVILLE RD, SUITE 514, ROSWELL, GA 30075-2964
(770) 642-9444
(855) 223-5662
Mailing address
45 W CROSSVILLE RD, SUITE 514, ROSWELL, GA 30075-2964
(770) 642-9444
(855) 223-5462
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT007668
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282006299D
—
GA
Enumeration date
08/16/2011
Last updated
06/13/2012
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