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Balancing Worlds: Myofascial Release, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
BALANCING WORLDS: MYOFASCIAL RELEASE, LLC18014058082020-07-24
Entity TypeOrganization
Provider OrganizationBALANCING WORLDS: MYOFASCIAL RELEASE, LLC
Practice Office Address1325 E GRANDVIEW ST
MESA, AZ US
Practice Office Telephone4015699071
Mailing Address1325 E GRANDVIEW ST
MESA, AZ 852034427 US
Business Telephone4015699071
Authorized OfficialNANDITA RAMASUBRAMANIAM, PHYSICAL THERAP
4015699071
HPT Codes
CodeLicense NoState
225100000X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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