Organization
BALANCE IN MOTION PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NOEL JOHNSON PT, DPT (PHYSICAL THERAPIST)
(904) 377-3068
Entity
Organization
Contact information
Practice address
845 BLUE JAY LN, COPPELL, TX 75019-5964
(904) 377-3068
Mailing address
PO BOX 528, COPPELL, TX 75019-0509
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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