Individual
LINDSAY BALLEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3833 S TEXAS AVE, STE 111, BRYAN, TX 77802-4039
(979) 220-9406
Mailing address
3833 S TEXAS AVE, STE 111, BRYAN, TX 77802-4039
(979) 220-9406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113625
TX
Other
Enumeration date
07/29/2010
Last updated
02/06/2012
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