Individual
ABIOLA BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2109 W PARKER RD STE 208, PLANO, TX 75023-7739
(214) 230-2040
(214) 230-2041
Mailing address
2109 W PARKER RD STE 208, PLANO, TX 75023-7739
(214) 230-2040
(214) 230-2041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1188462
TX
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4201865
—
TX
Enumeration date
10/29/2012
Last updated
08/07/2025
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