Organization
LIFE IN BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L ONYANGO (PATIENT CARE COORDINATOR)
(269) 687-9594
Entity
Organization
Contact information
Practice address
5838 W BRICK RD, SUITE 104-B, SOUTH BEND, IN 46628-8423
(574) 255-8060
(574) 255-8602
Mailing address
5838 W BRICK RD, SUITE 104-B, SOUTH BEND, IN 46628-8423
(574) 255-8060
(574) 255-8602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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