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1194166231
COLLEEN BALLA
LOUISVILLE, KY
NPI
1194166231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201007189)
Enumeration Date
2013-07-16
Last Update Date
2013-07-16
Business Address
COLLEEN BALLA OTRL
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
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Mailing Address
COLLEEN BALLA OTRL
8609 HARDING
CENTER LINE, MI 48015-1597
Phone number: 586-427-7976
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