Individual
ANNE ELIZABETH BALLANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6384 MILL STREET, RHINEBECK, NY 12572
(845) 518-2059
(845) 876-5559
Mailing address
PO BOX 94, RHINEBACK, NY 12572
(845) 518-2059
(845) 876-5559
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000880
NY
171100000X
Acupuncturist
AC5725
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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