Provider Demographics
NPI:1073696001
Name:IN BALANCE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:IN BALANCE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ACCURSO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-962-5940
Mailing Address - Street 1:17220 SW 84TH CT
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4616
Mailing Address - Country:US
Mailing Address - Phone:305-962-5940
Mailing Address - Fax:305-675-9232
Practice Address - Street 1:6030 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-5253
Practice Address - Country:US
Practice Address - Phone:305-667-1188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13145225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty