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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