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Individual
MS. KALLIE BALAJTHY
Active
Individual
MS. KALLIE BALAJTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T., M.S., A.T.C.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208715
VA
225100000X
Physical Therapist
25075
MD
225100000X
Physical Therapist
Primary
PT024774
PA
2255A2300X
Athletic Trainer
RT004872
PA
Other
Enumeration date
07/29/2014
Last updated
06/13/2018
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