Individual
JOSHUA BALLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
401 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Mailing address
3332 ALBERDEEN RD, MOUNTAIN TOP, PA 18707-9581
(570) 709-4793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008323
PA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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