ELLIOTT BALLENTINE

CAPE ELIZABETH, ME
NPI1174973473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  61741)
Enumeration Date2016-06-16
Last Update Date2019-07-09
Business Address
ELLIOTT BALLENTINE P.T.
15 IVIE RD
CAPE ELIZABETH, ME 04107-1706
Phone number: 216-501-0171
Mailing Address
ELLIOTT BALLENTINE P.T.
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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