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General NPI Number Information
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NPI Number | 1891678488
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Entity Type | Organization
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Legal Business Name | BALANCED PELVIC HEALTH AND WELLNESS
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 3050 VALLEY VW NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9121
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Country | US
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Telephone | 810-923-2260
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Fax | 702-508-6672
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Provider Business Mailing Address
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Address Line | 3050 VALLEY VW NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9121
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Country | US
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Telephone | 810-923-2260
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Fax | 702-508-6672
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MRS. KENDRA BARTLETT
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Credential |
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Telephone | 435-862-0705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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