Individual
BRANDON BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 N VULCAN AVE, STE 208, ENCINITAS, CA 92024-2190
(760) 634-1125
Mailing address
4421 EL MORADO ST, MONTCLAIR, CA 91763-3010
(909) 900-5311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20714
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/21/2017
Last updated
04/24/2025
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