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Organization

LIFE IN BALANCE WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRIS ALAN KOWALIK DC (OWNER)
(979) 995-4909
Entity
Organization

Contact information

Practice address
101 CENTER ST, TRAVELERS REST, SC 29690-1828
(979) 995-4909
Mailing address
215 LOVE DR, TRAVELERS REST, SC 29690-1806

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4469
MEDICAL LICENSE
SC
Enumeration date
10/20/2021
Last updated
10/20/2021
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