Individual
NALDA BALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
131 UNIVERSITY DR, PONTIAC, MI 48342-2369
(248) 836-1110
Mailing address
131 UNIVERSITY DR, PONTIAC, MI 48342-2369
(248) 836-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201009538
MI
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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