Organization
ANB-PTSMA HOLDINGS, INC.
Active
Organization
ANB-PTSMA HOLDINGS, INC.
Active
Other names
Physical Therapy & Sports Medicine Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BALAVENDER (OWNER)
(860) 409-4595
Entity
Organization
Contact information
Practice address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004201000
—
CT
Enumeration date
10/20/2006
Last updated
03/25/2026
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