Individual
KATHLEEN LESLIE BALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110820
TX
225XE0001X
Environmental Modification Occupational Therapist
110820
TX
225XG0600X
Gerontology Occupational Therapist
110820
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
110820
TX
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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