Individual
ANUJA BALAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 SW 10TH AVE STE 101, PORTLAND, OR 97205-2700
(503) 294-7463
Mailing address
13388 DISTRICT PKWY UNIT 205, FISHERS, IN 46037-7750
(317) 410-7170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05011033A
IN
225100000X
Physical Therapist
Primary
63460
OR
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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