845 SW 30TH ST
CORVALLIS, OR 97331-8629 US
Overview
Amanda D Baltazar is a Physical Therapist in the CORVALLIS area. Amanda D Baltazar primary office location is at 845 SW 30TH ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1043541832 and the information was updated approximately 10 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: NO
Contact Information
| License Number | State |
|---|---|
| 60989 | OR |
| PT60117609 | WA |
| Type/Issuer | Identifier | State |
|---|---|---|
| STATE | 60989 | OR |
| LABOR & INDUSTRIES | 0259144 | WA |
| Taxonomy | State | Primary? |
|---|---|---|
| Physical Therapist - Taxonomy Code 225100000X | WA | Y |
| Physical Therapist - Taxonomy Code 225100000X | OR | N |
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