DIANA C BAL

SUMMERVILLE, SC
NPI1245388966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  704)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: SC  704)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
-- DIANA C BAL mhsot
109 CHURCHILL CT
SUMMERVILLE, SC 29485-3454
Phone number: 843-821-9175
Mailing Address
-- DIANA C BAL mhsot
109 CHURCHILL CT
SUMMERVILLE, SC 29485-3454
Phone number: 843-821-9175