Individual
MR. DENNIS RAY LAYSON BALOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR-L
Contact information
Practice address
2900 MADISON AVE, UNIT D32, FULLERTON, CA 92831-2262
(501) 551-1319
Mailing address
2900 MADISON AVE, UNIT D32, FULLERTON, CA 92831-2262
(501) 551-1319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 7467
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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