Provider Demographics
NPI:1790393254
Name:VERTIGO & BALANCE RECOVERY LLC
Entity Type:Organization
Organization Name:VERTIGO & BALANCE RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRANSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:203-512-3611
Mailing Address - Street 1:5 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4901
Mailing Address - Country:US
Mailing Address - Phone:203-512-3611
Mailing Address - Fax:203-549-0613
Practice Address - Street 1:6527 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-1385
Practice Address - Country:US
Practice Address - Phone:203-512-3611
Practice Address - Fax:203-549-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Single Specialty