Tracy Balk OT

NPI 1912121443 - Occupational Therapist - 225X00000X

NPI Details
NPI 1912121443
Gender Female
Enumeration Date 04/13/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
415 THAXTON AVE SE
EAST SAN JOSE ES
ALBUQUERQUE NM, 87102-4855, US
Phone (505) 764-2005
Fax
Business Location
415 THAXTON AVE SE
EAST SAN JOSE ES
ALBUQUERQUE NM, 87102-4855, US
Phone (505) 764-2005
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New Mexico
License Number 1410
Remove 1912121443 NPI Number
 

According to our database, Tracy Balk OT NPI is 1912121443, taxonomy code is 225X00000X and license number is 1410, license state is located at New Mexico. Tracy Balk OT physically located at 415 Thaxton Ave Se, Albuquerque NM, 87102-4855. NPI Number Tracy Balk OT has the Individual type.

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1912121443 NPI number is provided on an as is basis without warranty of any kind. 1912121443 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Balk OT are for informational purposes only.