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NPI Code Detail

MEDICARE: ASHLEY ANNE BALENTINE

MEDICARE: ASHLEY ANNE BALENTINE
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
1225XP0200XPediatric Occupational Therapist305366TX
2225X00000XOccupational Therapist305366TX

General Provider Information

NPI Number : 1922515956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ANNE BALENTINE
Provider Business Mailing Address
First Line : 5626 PETTY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77007-1841
Country : US
Telephone Number : 251-490-9272
Fax Number :
Provider Business Practice Location Address
First Line : 9432 KATY FWY STE 320
Second Line :
City : HOUSTON
State : TX
Zip : 77055-6370
Country : US
Telephone Number : 281-558-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2017
Last Update Date : 12/28/2017

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Directions to “ ASHLEY ANNE BALENTINE ” Practice Location

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