Balanced Outpatient Therapy LLC

NPI #1174170161 in Virginia Beach, Virginia

Provider Information

NPI Number: 1174170161
Entity Type: Organization
Organization Name: Balanced Outpatient Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 23, 2019
Last Updated: Aug 23, 2019

Practice Location

Address: 1142 JENSEN DR # 101
City: Virginia Beach
State: Virginia
ZIP Code: 23451-5872
Phone: (757) 965-9942

Authorized Official

Name: MATTHEW SILVER, PT
Title: PRESIDENT
Phone: (609) 306-9750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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