Organization
ENSTA CORP
Active
Other names
Fyzical Therapy & Balance Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC STACKS (PRESIDENT)
(330) 807-2431
Entity
Organization
Contact information
Practice address
25955 DETROIT RD STE 16, WESTLAKE, OH 44145-2426
(330) 807-2431
Mailing address
3681 RANFIELD RD, KENT, OH 44240-6783
(330) 807-2431
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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