Individual
BROOKE SLATTEN BALESTRIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1396B WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2932
(336) 331-3277
(336) 331-3279
Mailing address
1396B WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2932
(336) 331-3277
(336) 331-3279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15008
NC
225100000X
Physical Therapist
4754
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15008
PT LICENCE
NC
01
—
4754
OKLAHOMA LICENSE
OK
Enumeration date
10/16/2013
Last updated
09/16/2014
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