Individual
RITU BALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581
(281) 997-8509
(888) 449-0039
Mailing address
11118 GLASGILL CT, RICHMOND, TX 77407
(832) 746-4939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208657
TX
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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