Individual
MISS RUTH VALERIE BALTAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 W 36TH ST, SCOTTSBLUFF, NE 69361-4636
(308) 635-2019
Mailing address
222 W 18TH ST, APT D, SCOTTSBLUFF, NE 69361-2306
(513) 405-9320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3194
NE
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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