Individual
DARITZA BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 S STATE ST, NEWTOWN, PA 18940-1963
(215) 550-6109
Mailing address
502 HOFFMAN ST, PHILADELPHIA, PA 19148-2523
(646) 427-1634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024528
PA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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