MICHAEL RAY BALLANCE

LODI, CA
NPI1205400983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: CA  PT18492)
Enumeration Date2021-05-17
Last Update Date2021-05-17
Business Address
MICHAEL RAY BALLANCE PT
825 W LOCKEFORD ST
LODI, CA 95240-1633
Phone number: 209-331-7471
Mailing Address
MICHAEL RAY BALLANCE PT
12270 KIRKWOOD ST
HERALD, CA 95638-9765
Phone number: 209-663-8013
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