Individual
JENNIFER BALLIEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
7626 CALLAGHAN RD APT 3108, SAN ANTONIO, TX 78229-2789
(817) 343-9972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117467
TX
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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