Provider Demographics
NPI:1437913704
Name:PSM HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:PSM HEALTHCARE SERVICES LLC
Other - Org Name:FYZICAL THERAPY AND BALANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:EVE
Authorized Official - Last Name:VAYNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-742-2211
Mailing Address - Street 1:1747 HOOPER AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-8165
Mailing Address - Country:US
Mailing Address - Phone:732-228-7273
Mailing Address - Fax:732-226-0242
Practice Address - Street 1:1747 HOOPER AVE STE 15
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8165
Practice Address - Country:US
Practice Address - Phone:732-228-7273
Practice Address - Fax:732-226-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy