COLLEEN BALLA

LOUISVILLE, KY
NPI1194166231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201007189)
Enumeration Date2013-07-16
Last Update Date2013-07-16
Business Address
-- COLLEEN BALLA OTRL
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- COLLEEN BALLA OTRL
8609 HARDING
CENTER LINE, MI 48015-1597
Phone number: 586-427-7976