Body Balance Golf & Physical Therapy, LLC

NPI #1023014859 in Bloomington, Minnesota

Provider Information

NPI Number: 1023014859
Entity Type: Organization
Organization Name: Body Balance Golf & Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 27, 2005
Last Updated: Feb 28, 2008

Practice Location

Address: 2070 W 96TH ST
City: Bloomington
State: Minnesota
ZIP Code: 55431-2517
Phone: (952) 888-9549

Authorized Official

Name: MR. DAVID JOHN WIEBER, LPT
Title: OWNER
Phone: (952) 888-9549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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