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ELIZABETH BALDERAS

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1962084731

Individual Registrant:
 ELIZABETH  BALDERAS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2107 DUDLEY ST  TEXARKANA, AR 71854-6345 US
Tel: 870-772-4427  Fax: --

Contact information for business:
323 KORNEGAY RD  DE QUEEN, AR 71832-8663 US
Tel: 870-613-6611  Fax: --

Registration Information:
NPI: 1962084731
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
TX215608
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AROT-A1473

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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