Individual
DANIELLE SUSAN BALOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 414-4755
Mailing address
33 PARK AVE, NORTH ARLINGTON, NJ 07031-6428
(201) 704-4132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01735600
NJ
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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