Provider Demographics
NPI:1538461637
Name:FINE BALANCE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:FINE BALANCE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:FABRIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:561-860-4534
Mailing Address - Street 1:700 E BOYNTON BEACH BLVD
Mailing Address - Street 2:UNIT 1109
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-4100
Mailing Address - Country:US
Mailing Address - Phone:561-860-4534
Mailing Address - Fax:
Practice Address - Street 1:700 E BOYNTON BEACH BLVD
Practice Address - Street 2:UNIT 1109
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4100
Practice Address - Country:US
Practice Address - Phone:561-860-4534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT4781OtherPHYSICAL THERAPIST