ETHAN BALOGH

INDEPENDENCE, MO
NPI1932064862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2025-12-23
Last Update Date2025-12-23
Business Address
ETHAN BALOGH DPT
3509 S NOLAND RD
INDEPENDENCE, MO 64055-3339
Phone number: 816-313-2220
Mailing Address
ETHAN BALOGH DPT
2122 YORK RD STE 300
OAK BROOK, IL 60523-1925
Phone number: 630-575-6200