Individual
MRS. JENNIFER V. BALUYUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
2601 E THOMAS RD, SUITE 120, PHOENIX, AZ 85016-8221
(602) 424-9880
(602) 445-5210
Mailing address
1402 E SOUTH MOUNTAIN AVE, PHOENIX, AZ 85042-7925
(602) 243-4231
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
7683
AZ
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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