Individual
BRITTANY BALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E 27TH ST, APT 10N, NEW YORK, NY 10016-9277
(212) 721-0208
Mailing address
240 E 27TH ST, APT 10N, NEW YORK, NY 10016-9277
(212) 721-0208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017522-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208311672
—
NY
Enumeration date
04/03/2014
Last updated
04/03/2014
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