Individual
BALSAM ITANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
25 WEST ST, TUNKHANNOCK, PA 18657-1405
(570) 996-6200
(570) 996-6201
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(570) 550-0168
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11939
SC
225100000X
Physical Therapist
Primary
PT032225
PA
225100000X
Physical Therapist
—
DC
Other
Enumeration date
12/05/2023
Last updated
10/13/2025
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