Organization
BALANCE PEDIATRIC DEVELOPMENTAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY TREMBACK-BALL PHD, PT (OWNER)
(570) 840-8356
Entity
Organization
Contact information
Practice address
12 EVERGREEN DR, JERMYN, PA 18433-1130
(570) 840-8356
Mailing address
12 EVERGREEN DR, JERMYN, PA 18433-1130
(570) 840-8356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010998L
PA
225X00000X
Occupational Therapist
OC003375L
PA
Other
Enumeration date
10/03/2008
Last updated
03/30/2010
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