Individual
MISS HALEY JEAN BALCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5265 N ACADEMY BLVD STE 3300, COLORADO SPRINGS, CO 80918-4082
(888) 701-9216
Mailing address
7363 ROSA BELLE HTS, COLORADO SPRINGS, CO 80922-3346
(757) 553-6947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006911
CO
Other
Enumeration date
02/04/2019
Last updated
07/22/2024
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