MARK ERWIN BALBANIDA

COLORADO SPRINGS, CO
NPI1326565748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0000789)
Enumeration Date2017-08-25
Last Update Date2022-07-21
Business Address
MARK ERWIN BALBANIDA
3450 QUAIL LAKE RD APT 161
COLORADO SPRINGS, CO 80906-4680
Phone number: 347-707-5583
Mailing Address
MARK ERWIN BALBANIDA
3450 QUAIL LAKE RD APT 161
COLORADO SPRINGS, CO 80906-4680
Phone number: 347-707-5583
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