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General NPI Number Information
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NPI Number | 1497597918
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Entity Type | Organization
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Legal Business Name | BETTER BALANCE PHYSICAL THERAPY & WELLNESS
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 3827 HERITAGE LN
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City | KINGMAN
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State | AZ
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Zip | 86409-0519
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Country | US
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Telephone | 210-705-4008
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Fax |
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Provider Business Mailing Address
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Address Line | 3827 HERITAGE LN
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City | KINGMAN
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State | AZ
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Zip | 86409-0519
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Country | US
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Telephone | 210-705-4008
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | DR. JOSHUA RYAN LOPEZ
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Credential | DPT
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Telephone | 210-705-4008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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