Individual
ABRAHAM BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2201
(925) 906-0200
Mailing address
1975 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2201
(925) 906-0200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12721
CA
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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