| NPI | 1013327873 |
|---|---|
| Doing Business As | BODY BALANCE LAKEWAY |
| Entity Type | Organization |
| Authorized Contact | PAUL J HENDRICKS Owner 512-261-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1111524) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |