Individual
COURTNEY LEIGH BALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 3RD AVE, CHULA VISTA, CA 91910-1822
(619) 427-2777
Mailing address
3760 CONVOY ST, SUITE 204, SAN DIEGO, CA 92111-3742
(858) 514-0375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13294
CA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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