Petric Mar Dichoso Balbontin, PT

NPI #1104952605 in Saint Cloud, Florida

Provider Information

NPI Number: 1104952605
Entity Type: Individual
Name: Petric Mar Dichoso Balbontin, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 26, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 3250 PAWLEYS LOOP N
City: Saint Cloud
State: Florida
ZIP Code: 34769-7103
Phone: (407) 346-5520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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