Provider Demographics
NPI:1861225708
Name:BALIGA, REBECCA RUTH LINDO
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RUTH LINDO
Last Name:BALIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 CRUMP RD
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1516
Mailing Address - Country:US
Mailing Address - Phone:610-241-2685
Mailing Address - Fax:877-731-7311
Practice Address - Street 1:203 CRUMP RD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1516
Practice Address - Country:US
Practice Address - Phone:610-241-2685
Practice Address - Fax:877-731-7311
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT031104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist