Organization
COREBALANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY FLORY PT, DPT (CO-OWNER)
(928) 556-9935
Entity
Organization
Contact information
Practice address
906 W UNIVERSITY AVE, SUITE 120, FLAGSTAFF, AZ 86001
(928) 556-9935
(928) 774-4277
Mailing address
906 W UNIVERSITY AVE, SUITE 120, FLAGSTAFF, AZ 86001
(928) 556-9935
(928) 774-4277
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0462940
BLUE CROSS BLUE SHEILD
AZ
Enumeration date
05/30/2007
Last updated
11/02/2021
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