ADAM BALAMUTH

LEBANON, NH
NPI1952806861
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NH  1104)
Enumeration Date2018-03-25
Last Update Date2018-03-25
Business Address
ADAM BALAMUTH PTA
24 OLD ETNA RD
LEBANON, NH 03766-1937
Phone number: 603-448-2234
Mailing Address
ADAM BALAMUTH PTA
139 JACKSON DR
WASHINGTON, NH 03280-3482
Phone number: 802-376-3361