| Doctor Name: | MS. KALLIE BALAJTHY |
| NPI Number: | 1285042655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T., M.S., A.T.C. |
| License Number: | 2305208715 |
| Business Practice Address: | 1010 Wayne Ave Ste. 110 Silver Spring, MD - 209105600 |
| Business Phone Number: | 3016500036 |
| Business Fax Number: | |
| Mailing Address: | 429 Ramblewood Dr, SAYLORSBURG |
| State: | PA |
| Postal Code: | 183538046 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2014 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305208715 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |