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General NPI Number Information
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NPI Number | 1306090816
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Entity Type | Organization
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Legal Business Name | BALANCE IN MOTION PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 2929 24TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4126
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Country | US
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Telephone | 415-702-9206
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Fax | 415-341-0380
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Provider Business Mailing Address
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Address Line | 2929 24TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4126
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Country | US
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Telephone | 415-702-9206
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Fax | 415-341-0380
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANN GARDIN BULKIN
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Credential | M.P.T.
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Telephone | 415-812-4407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 21445
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License Number State | CA
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