Individual
MRS. MICHELLE MARGARET BALESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
150 S HUNTINGTON AVE, AUDIOLOGY 523/126, BOSTON, MA 02130-4817
(617) 232-9500
Mailing address
22 MATHAURS ST, MILTON, MA 02186-4638
(617) 232-9500
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
568
MA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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