Individual provider · Type 1 NPI
Michael Ray Ballance, PT
Pediatric Physical Therapist · Lodi, CA
Practice location
825 W Lockeford St
Lodi, CA 95240-1633
Fax (209) 331-7464
Mailing address
12270 Kirkwood St
Herald, CA 95638-9765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT18492 (CA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
Another provider at this address
About NPI 1205400983
Michael Ray Ballance, PT's National Provider Identifier is 1205400983, issued on May 17, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lodi, CA. The record was last updated on May 17, 2021.