| NPI | 1720658750 |
|---|---|
| Other Name | THERAPEUTIC BALANCE LLC |
| Entity Type | Organization |
| Authorized Contact | LATISHA CASTEEL Occupational Therapist 774-503-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |