Organization
BALANCING WORLDS: MYOFASCIAL RELEASE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANDITA RAMASUBRAMANIAM (PHYSICAL THERAPIST)
(401) 569-9071
Entity
Organization
Contact information
Practice address
1325 E GRANDVIEW ST, MESA, AZ 85203-4427
(401) 569-9071
Mailing address
1325 E GRANDVIEW ST, MESA, AZ 85203-4427
(401) 569-9071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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