Individual
DIANE BALLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3234 EXECUTIVE PKWY, SUITE 111, TOLEDO, OH 43606-1398
(419) 536-8030
Mailing address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 05911
OH
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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