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Individual
THOMAS BALLENGER
Active
Individual
THOMAS BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20892
MD
225100000X
Physical Therapist
J10001666
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174569511
—
DE
01
—
2410592000
AMERIHEALTH
PA
01
—
5070-0024
CARE FIRST
—
01
—
61809001
NCA
—
Enumeration date
06/22/2006
Last updated
01/17/2025
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