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Individual

LINDA KAY BALWANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5621
Mailing address
2300 CARTHAGE CT, COLUMBIA, MO 65202-3194
(573) 449-6142

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01933
MO

Other

Enumeration date
06/07/2007
Last updated
07/08/2007
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