Organization
BALANCED THERAPY AND WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN D BANCSI DPT (CEO/PHYSICAL THERAPIST)
(708) 567-3891
Entity
Organization
Contact information
Practice address
5271 N JOHNSON RD, MICHIGAN CITY, IN 46360-9377
(708) 567-3891
(219) 879-5416
Mailing address
PO BOX 1031, MICHIGAN CITY, IN 46361-8231
(708) 567-3891
(219) 879-5416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007382A
IN
225X00000X
Occupational Therapist
31003490A
IN
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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