Organization
BODY IN BALANCE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM M. DAVIS P.T. (OWNER)
(262) 369-7941
Entity
Organization
Contact information
Practice address
560 S INDUSTRIAL DR, HARTLAND, WI 53029-2324
(262) 369-7941
Mailing address
PO BOX 76, HARTLAND, WI 53029-0076
(262) 369-7941
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5066--24
WI
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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