Organization
BALANCE DYNAMICS PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE WOLF M.S.P.T. (PHYSICAL THERAPIST)
(203) 856-5460
Entity
Organization
Contact information
Practice address
6527 MAIN ST, LOWER LEVEL, TRUMBULL, CT 06611-1385
(203) 856-5460
Mailing address
75 ROSEMERE AVE, FAIRFIELD, CT 06825
(203) 856-5460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006316
CT
Other
Enumeration date
03/18/2016
Last updated
03/22/2016
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