CRYSTAL LYNN BALLENGEE

HURRICANE, WV
NPI1568900801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  1329)
Enumeration Date2017-02-07
Last Update Date2017-02-07
Business Address
-- CRYSTAL LYNN BALLENGEE PTA
300 SEVILLE RD
HURRICANE, WV 25526-9206
Phone number: 304-757-6805
Mailing Address
-- CRYSTAL LYNN BALLENGEE PTA
207 BEECHWOOD EST
SCOTT DEPOT, WV 25560-9724
Phone number: 304-206-6857
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