Individual
MRS. JENNIFER J BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 E BALDWIN RD, GRAND BLANC, MI 48439-9532
(810) 606-9951
Mailing address
3119 RHODA ST, FLINT, MI 48507-4554
(810) 441-1276
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007499
MI
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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