Provider Demographics
NPI:1407339534
Name:OSTEO HEALTH AND BALANCE INC
Entity Type:Organization
Organization Name:OSTEO HEALTH AND BALANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:919-995-0255
Mailing Address - Street 1:4330 SOUTHPORT SUPPLY RD
Mailing Address - Street 2:STE 103
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-9265
Mailing Address - Country:US
Mailing Address - Phone:910-363-4222
Mailing Address - Fax:910-477-6336
Practice Address - Street 1:4330 SOUTHPORT SUPPLY RD STE 103
Practice Address - Street 2:
Practice Address - City:SOUTHPORT
Practice Address - State:NC
Practice Address - Zip Code:28461-9265
Practice Address - Country:US
Practice Address - Phone:910-363-4222
Practice Address - Fax:910-477-6336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy