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Organization
BALLENT REHABILITATION PA
Active
Organization
BALLENT REHABILITATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BALLENT D.C. (PRESIDENT)
(786) 553-6761
Entity
Organization
Contact information
Practice address
14437 S DIXIE HWY, MIAMI, FL 33176-7924
(305) 256-6020
Mailing address
11245 SW 91ST AVE, MIAMI, FL 33176-4346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9161
FL
Other
Enumeration date
08/31/2012
Last updated
10/04/2012
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