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Individual

BRETT BALLESTEROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4515 OCEAN VIEW BLVD STE 350, LA CANADA, CA 91011-1409
(818) 369-7620
Mailing address
19217 CANTARA ST, RESEDA, CA 91335-1115

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
03/11/2020
Last updated
03/11/2020
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