Individual
DENISHA LEANN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23141 MOULTON PKWY, LAGUNA HILLS, CA 92653-1241
(949) 340-6927
Mailing address
427 SAN LEON, IRVINE, CA 92606-8257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50946
CA
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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