Individual
MRS. NINOLA BALABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 CHASE ST, BUFORD, GA 30519-7908
(770) 807-5554
Mailing address
3405 CHASE ST, BUFORD, GA 30519-7908
(770) 807-5554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003284
GA
Other
Enumeration date
11/07/2014
Last updated
11/13/2014
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