Organization
BALANCE AND FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIKA ALEX MATHEW PT (PHYSICAL THERAPIST/OWNER)
(248) 495-8751
Entity
Organization
Contact information
Practice address
319 THORN HOLLOW DR, APEX, NC 27523-9278
(482) 495-8751
Mailing address
319 THORN HOLLOW DR, APEX, NC 27523-9278
(482) 495-8751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15232
NC
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
01/20/2018
Last updated
07/06/2023
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