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Individual
KRISTINE BALTAZAR
Active
Individual
KRISTINE BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047286
NY
225100000X
Physical Therapist
Primary
40QA01924000
NJ
225100000X
Physical Therapist
P22857
NC
Other
Enumeration date
07/21/2020
Last updated
03/25/2024
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