Individual
JOHANNA BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1621 W 220TH ST, TORRANCE, CA 90501-3841
(727) 455-2562
Mailing address
1621 W 220TH ST, TORRANCE, CA 90501-3841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12297
CA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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