KENNETH BRUK BALLENGER

SHORELINE, WA
NPI1538270483
Other NameBRUK BALLENGER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT7473)
Enumeration Date2006-08-31
Last Update Date2022-07-21
Business Address
-- KENNETH BRUK BALLENGER PT
19022 AURORA AVE N STE B
SHORELINE, WA 98133-3915
Phone number: 206-788-8807
Mailing Address
-- KENNETH BRUK BALLENGER PT
23636 HIGHWAY 99 SUITE F
EDMONDS, WA 98026
Phone number: 206-788-8807
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