Organization
BALANCED ROCK PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA M KULIS PT (OWNER)
(718) 658-9700
Entity
Organization
Contact information
Practice address
10825 MERRICK BLVD, JAMAICA, NY 11433-2906
(718) 658-9700
Mailing address
10825 MERRICK BLVD, JAMAICA, NY 11433-2906
(718) 658-9700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031395
NY
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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