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1861028755
TYLER BALLENTINE
MADISON, WI
NPI
1861028755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13751-24)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
TYLER BALLENTINE DPT
4639 HAMMERSLEY RD
MADISON, WI 53711-2706
Phone number: 800-924-2273
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Mailing Address
TYLER BALLENTINE DPT
3518 LUCIA CRST
MADISON, WI 53705-3312
Phone number:
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