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MR. MICHAEL BALLENTINE DPT

Orthopedic >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1245519313

Individual Registrant:
MR. MICHAEL  BALLENTINE DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
22122 SHERMAN WAY  CANOGA PARK, CA 91303-1140 US
Tel: 818-592-6030  Fax: --

Contact information for business:
1965 HILLHURST AVE FL 1 LOS ANGELES, CA 90027-2711 US
Tel: 323-912-9166  Fax: --

Registration Information:
NPI: 1245519313
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Orthopedic
NYP80708

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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