Individual
MR. ALEX BALSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
9355 SAN JOSE BLVD, JACKSONVILLE, FL 32257-5503
(904) 739-0877
Mailing address
8050 RAYMOND ST, JACKSONVILLE, FL 32221-6776
(904) 864-6509
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9476
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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