Healthcare Provider Details

I. General information

NPI: 1326152802
Provider Name (Legal Business Name): BALANCE SOLUTIONS PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23175 COMMERCE PARK
BEACHWOOD OH
44122-5806
US

IV. Provider business mailing address

23175 COMMERCE PARK
BEACHWOOD OH
44122-5806
US

V. Phone/Fax

Practice location:
  • Phone: 440-449-3400
  • Fax: 440-449-3402
Mailing address:
  • Phone: 440-449-3400
  • Fax: 440-449-3402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY S BEAUDOIN
Title or Position: OWNER
Credential: MSPT
Phone: 440-315-8471