TRACY BALK

ALBUQUERQUE, NM
NPI1912121443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  1410)
Enumeration Date2007-04-13
Last Update Date2007-07-09
Business Address
-- TRACY BALK OT
415 THAXTON AVE SE EAST SAN JOSE ES
ALBUQUERQUE, NM 87102-4855
Phone number: 505-764-2005
Mailing Address
-- TRACY BALK OT
415 THAXTON AVE SE EAST SAN JOSE ES
ALBUQUERQUE, NM 87102-4855
Phone number: 505-764-2005
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