Individual
MR. MICHAEL BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
22122 SHERMAN WAY, CANOGA PARK, CA 91303-1140
(818) 592-6030
Mailing address
1965 HILLHURST AVE, FL 1, LOS ANGELES, CA 90027-2711
(323) 912-9166
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P80708
NY
Other
Enumeration date
08/08/2011
Last updated
11/21/2017
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