Healthcare Provider Details

I. General information

NPI: 1174648554
Provider Name (Legal Business Name): BALANCE PHYSICAL THERAPY & HUMAN PERFORMANCE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 JOHN ST
SALINAS CA
93901-3337
US

IV. Provider business mailing address

143 JOHN ST
SALINAS CA
93901-3337
US

V. Phone/Fax

Practice location:
  • Phone: 831-422-4782
  • Fax: 831-422-4784
Mailing address:
  • Phone: 831-422-4782
  • Fax: 831-422-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHNATHAN H FARAHMAND
Title or Position: FOUNDER AND CEO
Credential: DPT
Phone: 831-422-4782