Organization
BACK TO BALANCE REHABILITATION AND FITNESS INC.
Active
Organization
BACK TO BALANCE REHABILITATION AND FITNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SHEN P.T. (PRESIDENT)
(310) 800-7436
Entity
Organization
Contact information
Practice address
307 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-3602
(310) 652-8404
(310) 652-7470
Mailing address
388 E OCEAN BLVD, #305, LONG BEACH, CA 90802-5252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT32477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477515559
NPI
CA
Enumeration date
02/01/2012
Last updated
02/01/2012
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