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General NPI Number Information
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NPI Number | 1710241062
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Entity Type | Organization
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Legal Business Name | THE RIGHT BALANCE PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 3400 BARRY PAUL RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-5161
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Country | US
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Telephone | 410-458-5868
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Fax |
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Provider Business Mailing Address
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Address Line | 2328 SWEET MEADOW RD
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City | BALTIMORE
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State | MD
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Zip | 21209-3866
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Country | US
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Telephone | 410-486-3241
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Fax | 410-486-3241
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | BRUCE GOLDENBERG
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Credential | PT
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Telephone | 410-458-5868
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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 | 21561
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License Number State | MD
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