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General NPI Number Information
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NPI Number | 1902557010
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Entity Type | Organization
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Legal Business Name | BBALANCED NEUROLOGICAL AND VESTIBULAR THERAPY INC.
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Dates
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Enumeration Date | 01/11/2022
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 1116 SPANIARD NECK RD
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City | CENTREVILLE
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State | MD
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Zip | 21617-2330
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Country | US
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Telephone | 410-758-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 SPANIARD NECK RD
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City | CENTREVILLE
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State | MD
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Zip | 21617-2330
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Country | US
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Telephone | 410-725-1550
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KATHERINE S MILLS
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Credential | P.T
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Telephone | 410-725-1550
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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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Taxonomy #2
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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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