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General NPI Number Information
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NPI Number | 1841342052
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Entity Type | Organization
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Legal Business Name | INNOVATIVE BALANCE & THERAPY CLINICS,INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10830 STACEY LN
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City | BOCA RATON
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State | FL
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Zip | 33428-4049
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Country | US
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Telephone | 561-703-7884
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Fax | 561-218-0388
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Provider Business Mailing Address
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Address Line | 10830 STACEY LN
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City | BOCA RATON
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State | FL
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Zip | 33428-4049
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Country | US
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Telephone | 561-218-3729
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Fax | 561-218-0388
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. GWENDOLYN JEAN BOYD
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Credential | PT
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Telephone | 561-207-0989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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