Individual
STEPHANIE BALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10800 FLORA MAE MEADOWS, HOUSTON, TX 77089
(832) 328-2350
Mailing address
11210 SAGEMEADOW LN, HOUSTON, TX 77089
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210439
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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