Individual
ADAM BALAMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
Mailing address
139 JACKSON DR, WASHINGTON, NH 03280-3482
(802) 376-3361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1104
NH
Other
Enumeration date
03/25/2018
Last updated
03/25/2018
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