Healthcare Provider Details

I. General information

NPI: 1831492727
Provider Name (Legal Business Name): FINDING BALANCE PHYSICAL THERAPY AN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ESTUDILLO AVE STE 207
SAN LEANDRO CA
94577-4999
US

IV. Provider business mailing address

400 ESTUDILLO AVE STE 207
SAN LEANDRO CA
94577-4999
US

V. Phone/Fax

Practice location:
  • Phone: 510-351-6900
  • Fax: 510-351-6906
Mailing address:
  • Phone: 510-351-6900
  • Fax: 510-351-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number22856
License Number StateCA

VIII. Authorized Official

Name: MS. ANDREA H LIMB
Title or Position: OWNER
Credential: PT
Phone: 510-351-6900