Organization
INNER BALANCE PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANNA HEANEY PT (MEMBER)
(860) 758-0754
Entity
Organization
Contact information
Practice address
34 JEROME AVE STE 305, BLOOMFIELD, CT 06002-2463
(860) 758-0754
Mailing address
34 JEROME AVE STE 305, BLOOMFIELD, CT 06002-2463
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
006733
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558413864
CONNECTICARE
CT
Enumeration date
05/19/2018
Last updated
05/19/2018
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