MEDICARE: JOANNE BALINT D.P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305203408	VA

General Provider Information

NPI Number	:	1558717884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE BALINT D.P.T

Provider Business Mailing Address
First Line	:	2445 CENTREVILLE RD
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20171-3013
Country	:	US
Telephone Number	:	703-793-4851
Fax Number	:	703-793-4853

Provider Business Practice Location Address
First Line	:	7210 HERITAGE VILLAGE PLZ
Second Line	:	#101
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3071
Country	:	US
Telephone Number	:	703-754-0394
Fax Number	:	703-754-0254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	05/05/2016

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