Individual
JESSLEE DANELLE BALBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 RIVER RD, BOERNE, TX 78006-1958
(830) 816-5095
Mailing address
7500 TALLEY RD LOT 39, SAN ANTONIO, TX 78253-4621
(361) 775-5405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
365327
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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