Individual
MR. BRIAN PALMARIA BALAJADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 763-3051
Mailing address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 763-3051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002811
WV
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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