Individual
ERIC D BALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797
(620) 223-7029
Mailing address
884 209TH TER, FORT SCOTT, KS 66701-8508
(620) 223-0817
(620) 223-8567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02819
KS
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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