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Organization

BALANCING WORLDS: MYOFASCIAL RELEASE, LLC

Active
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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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