Organization
BALANCE BASICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELANA VARNUM MSOTR/L (OWNER)
(480) 703-1084
Entity
Organization
Contact information
Practice address
4360 E MAIN ST, SUITE 103, MESA, AZ 85205-8638
(480) 703-1084
(480) 248-7758
Mailing address
2202 E CATHY CT, GILBERT, AZ 85296-3943
(480) 703-1084
(480) 248-7758
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2643
AZ
Other
Enumeration date
11/30/2008
Last updated
11/30/2008
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