ELLIOTT BALLENTINE

NEW PROACTIVE LLC

Dr ELLIOTT BALLENTINE is a male medical professional, specializing in Physical Therapy. He graduated in 2016 from University Of Kansas School Of Medicine.

Contact

NEW PROACTIVE LLC

100 E 33RD ST
SUITE 206B
VANCOUVER
WA
986632725

Tel: 3608230138

ELLIOTT BALLENTINE Information

Npi 1174973473
Pac Id 2769770478
Professional Enrollment Id I20161012002915
Last Name BALLENTINE
First Name ELLIOTT
Middle Name
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NEW PROACTIVE LLC
Group Practice Pac Id 7315218708
Number Of Group Practice Members 43
Line 1 Street Address 100 E 33RD ST
Line 2 Street Address SUITE 206B
Marker Of Address Line 2 Suppression
City VANCOUVER
State WA
Zip Code 986632725
Phone Number 3608230138
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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