Individual
RAFFY BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2054
OK
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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