Provider Demographics
NPI:1104143775
Name:BALANCE THERAPY INC
Entity type:Organization
Organization Name:BALANCE THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:KESWANI
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:408-238-6878
Mailing Address - Street 1:5900 PISTOIA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-2354
Mailing Address - Country:US
Mailing Address - Phone:408-238-6878
Mailing Address - Fax:
Practice Address - Street 1:5900 PISTOIA WAY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138-2354
Practice Address - Country:US
Practice Address - Phone:408-238-6878
Practice Address - Fax:408-624-9508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty