Individual
KATHERINE BALBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17661 SW 70TH PL, SW RANCHES, FL 33331-1910
(954) 608-4910
Mailing address
17661 SW 70TH PL, SW RANCHES, FL 33331-1910
(954) 608-4910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15128
FL
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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