Balance and Neurologic Center of the Rockies LLC

NPI #1922497684 in Boulder, Colorado

Provider Information

NPI Number: 1922497684
Entity Type: Organization
Organization Name: Balance and Neurologic Center of the Rockies LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 20, 2015
Last Updated: Jan 20, 2015

Practice Location

Address: 5387 MANHATTAN CIR
Address 2: SUITE 100A
City: Boulder
State: Colorado
ZIP Code: 80303-4284
Phone: (303) 929-2950

Authorized Official

Name: JAIMY WAHAB, PT, DPT, NCS
Title: SOLE MEMBER
Phone: (303) 929-2950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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