Individual
MRS. PAMELA ANN BALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
421 E WIND DR, DOVER, DE 19901-8601
(302) 241-3245
Mailing address
421 E WIND DR, DOVER, DE 19901-8601
(302) 241-3245
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MT-0002992
DE
225700000X
Massage Therapist
MT-0002992
DE
Other
Enumeration date
04/12/2011
Last updated
01/26/2012
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