Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL RAY BALLANCE, PT
ActiveMICHAEL RAY BALLANCE, PT is a Pediatric Occupational Therapy healthcare provider located in LODI, California. NPI 1205400983 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · LODI, CA
Registration Details
- NPI Number
- 1205400983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2021 (5.224994675012 yrs)
- Last Updated
- May 17, 2021
- License
-
PT18492 (CA)
Practice Information
- Address
-
825 W LOCKEFORD STLODI, CA, 952401633Browse CA providers · Browse ZIP 95240
- Phone
- 2093317471
- Fax
- 2093317464
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.