Back In Balance Physical Therapy And Sport Rehabilitation, PLLC
Physical Therapist in Middletown, NY. Organization (NPI-2).
NPI number1396825063
StatusActive
Last updated in NPPESNov 9, 2012
Details
- NPI
- 1396825063
- Entity type
- Organization (NPI-2)
- Legal business name
- Back In Balance Physical Therapy And Sport Rehabilitation, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Nov 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
726 E Main StSuite 102
Middletown, NY 10940-2653
Phone 845-692-2225 · Fax 845-692-2239
Mailing address
726 E Main StSuite 102
Middletown, NY 10940-2653
Phone 845-692-2225 · Fax 845-692-2239
Authorized official
Tomasz Pienkowski
Partner
8456922225
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