Individual
MRS. DIANE KAY BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4600 TAFT BLVD, WICHITA FALLS, TX 76308-4935
(940) 691-7110
Mailing address
20911 MALLARD COVE COURT, RICHMOND, TX 77407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113752
TX
Other
Enumeration date
05/29/2011
Last updated
05/29/2011
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