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NPI Code Detail

MEDICARE: MEGAN DIANE BALKENBUSH

MEDICARE: MEGAN DIANE BALKENBUSH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT13372FL

General Provider Information

NPI Number : 1285874891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN DIANE BALKENBUSH
Provider Business Mailing Address
First Line : 910 WEST AVE
Second Line : APT. 802
City : MIAMI BEACH
State : FL
Zip : 33139-5234
Country : US
Telephone Number : 786-201-2426
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WEST AVE
Second Line : NO. 1411
City : MIAMI BEACH
State : FL
Zip : 33139-4759
Country : US
Telephone Number : 305-778-9198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2009
Last Update Date : 03/03/2009

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Directions to “ MEGAN DIANE BALKENBUSH ” Practice Location

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