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Individual

HEATHER BALUSEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9900 N CENTRAL EXPY, SUITE300, DALLAS, TX 75231-4395
(214) 265-0420
(214) 265-0737
Mailing address
9900 N CENTRAL EXPY, SUITE300, DALLAS, TX 75231-4395
(214) 265-0420
(214) 265-0737

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106849
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149984001
TX
05
207164901
TX
Enumeration date
01/05/2011
Last updated
01/05/2011
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