Individual
CHRISTINE YVONNE BALDERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1055 TIERRA DEL REY, #C, CHULA VISTA, CA 91910-7875
(619) 656-5102
Mailing address
1055 TIERRA DEL REY, #C, CHULA VISTA, CA 91910-7875
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT14911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT14911
PHYSICAL THERAPY LICENSE
CA
Enumeration date
09/13/2006
Last updated
07/08/2007
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