Provider Demographics
NPI:1346714763
Name:BETTER BALANCE PT LLC
Entity Type:Organization
Organization Name:BETTER BALANCE PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PENN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:732-908-0728
Mailing Address - Street 1:160 CHAMBERS BRIDGE ROAD
Mailing Address - Street 2:PO BOX 356
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723
Mailing Address - Country:US
Mailing Address - Phone:732-908-0728
Mailing Address - Fax:
Practice Address - Street 1:82 BURNT TAVERN RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7037
Practice Address - Country:US
Practice Address - Phone:732-908-0728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy