Individual
EARL BALBUENA ELECCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
214 W 5TH ST, SUITE D & E, JOPLIN, MO 64801-2501
(417) 782-2917
(417) 782-7038
Mailing address
430 CHAPARRALL CREEK DR, APT 2602, HAZELWOOD, MO 63042-3959
(417) 437-4389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006015792
MO
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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