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General NPI Number Information
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NPI Number | 1306091517
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Entity Type | Organization
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Legal Business Name | BALANCED MOTION PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 290 LITTLETON RD UNIT 3
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City | CHELMSFORD
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State | MA
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Zip | 01824-3429
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Country | US
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Telephone | 978-807-1042
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Fax |
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Provider Business Mailing Address
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Address Line | 5 GRASSY LN
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City | WESTFORD
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State | MA
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Zip | 01886-6800
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Country | US
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Telephone | 978-807-1042
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Fax | 978-923-8655
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Authorized Official
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Title or Position | CLINIC OWNER
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Name | TERI HALIO
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Credential |
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Telephone | 978-807-1042
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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 |
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License Number State |
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