Organization
WELL BALANCED BODY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHEENA NIETO BURKHARDT DPT, OCS (OWNER/PRESIDENT)
(949) 553-8853
Entity
Organization
Contact information
Practice address
1124 MAIN ST, SUITE C, IRVINE, CA 92614-6760
(949) 553-8853
(949) 553-8883
Mailing address
PO BOX 6356, IRVINE, CA 92616-6356
(949) 553-8853
(949) 553-8883
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT24551
CA
Other
Enumeration date
08/18/2008
Last updated
03/02/2009
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