Individual
DANIELLE MARIE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4959 PALO VERDE ST STE 109C, MONTCLAIR, CA 91763-2358
(909) 971-3092
(909) 971-3261
Mailing address
634 PARK AVE, LONG BEACH, CA 90814-1812
(562) 685-5954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21694
CA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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