Individual
VERONICA BALLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-8401
(208) 587-8406
Mailing address
368 GUNFIGHTER CT, MOUNTAIN HOME AFB, ID 83648-5006
(208) 590-5822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3367
ID
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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