Individual
SAMANTHA BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
800 KENILWORTH DR, TOWSON, MD 21204-2201
(443) 441-0637
(833) 450-5086
Mailing address
800 KENILWORTH DR, TOWSON, MD 21204-2201
(443) 441-0637
(833) 450-5086
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
28838
MD
2251X0800X
Orthopedic Physical Therapist
PT029279
PA
Other
Enumeration date
02/15/2021
Last updated
03/25/2025
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