Organization
BALLEW THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY CELESTE BALLEW MOT, OTR (OWNER)
(979) 220-9406
Entity
Organization
Contact information
Practice address
3833 SOUTH TEXAS AVENUE, SUITE 111, BRYAN, TX 77802-4039
(979) 220-9406
Mailing address
3833 SOUTH TEXAS AVENUE, SUITE 111, BRYAN, TX 77802-4039
(979) 220-9406
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
564050000
TX
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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