Organization
THE BALANCED MOMTALITY WOMEN'S HEALTH AND WELLNESS LLC
Active
Organization
THE BALANCED MOMTALITY WOMEN'S HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESIREE CASSELL DPT (OWNER/PHYSICAL THERAPIST)
(505) 803-2142
Entity
Organization
Contact information
Practice address
190 CENTRAL PARK SQ STE 214A, LOS ALAMOS, NM 87544-4004
(505) 803-2142
Mailing address
1745 36TH ST, LOS ALAMOS, NM 87544-2146
(505) 803-2142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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