Organization
INBALANCE PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN VANCE (OWNER/PT)
(480) 567-2987
Entity
Organization
Contact information
Practice address
36397 N GANTZEL RD, SUITE 102, SAN TAN VALLEY, AZ 85140
(480) 567-2987
(480) 347-0240
Mailing address
36397 N GANTZEL RD, SUITE 102, SAN TAN VALLEY, AZ 85140
(480) 567-2987
(480) 347-0240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488563
—
AZ
Enumeration date
04/16/2015
Last updated
04/16/2015
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