Individual
MR. DILLON BALTHASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
5128 LINCOLN AVE, LOS ANGELES, CA 90042-2346
(909) 618-4747
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/24/2009
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