MEDICARE: BALANCE REHABILITATION AND HEALTH SCIENCE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251G0304X	Geriatric Physical Therapist
2	2251H1300X	Human Factors Physical Therapist
3	2251E1200X	Ergonomics Physical Therapist
4	2251N0400X	Neurology Physical Therapist
5	2251S0007X	Sports Physical Therapist
6	2251X0800X	Orthopedic Physical Therapist
7	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255415881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE REHABILITATION AND HEALTH SCIENCE, LLC

Provider Business Mailing Address
First Line	:	58 RANGE RD STE 16
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-890-8844
Fax Number	:	603-890-8845

Provider Business Practice Location Address
First Line	:	58 RANGE RD STE 16
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-890-8844
Fax Number	:	603-890-8845

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	JASON MASSA
Credential	:
Telephone Number	:	603-890-8844

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	03/19/2024

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Directions to “BALANCE REHABILITATION AND HEALTH SCIENCE, LLC ” Practice Location

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