Organization
BODY IN BALANCE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KIMBERLY CHALELA PT (PRESIDENT)
(301) 704-7888
Entity
Organization
Contact information
Practice address
125 RIVER LANDING DR, SUITE 103, DANIEL ISLAND, SC 29492-2500
(301) 704-7888
Mailing address
1261 SMYTHE ST, DANIEL ISLAND, SC 29492-8371
(301) 704-7888
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5484
SC
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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