Pamela Balla-dibblee, PT | |
11444 S Redwood Rd, South Jordan, UT 84095-7803 | |
(801) 253-5970 | |
Not Available |
Full Name | Pamela Balla-dibblee |
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Gender | Female |
Speciality | Physical Therapist |
Location | 11444 S Redwood Rd, South Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700934098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 308035-2401 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
Mailing Address | Practice Location Address |
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Pamela Balla-dibblee, PT 11444 S Redwood Rd, South Jordan, UT 84095-7803 Ph: (801) 253-5970 | Pamela Balla-dibblee, PT 11444 S Redwood Rd, South Jordan, UT 84095-7803 Ph: (801) 253-5970 |
Clayton Daniel Powers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Todd Harold Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3785 W 10400 S Ste 104, South Jordan, UT 84095 Phone: 801-673-4430 | |
Elizabeth Junk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-5275 Fax: 801-213-5077 | |
Jared Moser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Matthew Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 | |
Matthew Jerry Hobbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 Fax: 801-676-2212 | |
Christine Ulses, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-254-5800 Fax: 801-254-1696 |