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Jessica Tamara Bala, DPT
Specialist in Encinitas, California
NPI 1154995967

Jessica Tamara Bala is a Specialist based in Oceanside, CA. Jessica Tamara Bala practices in Encinitas, CA and has the professional credentials of DPT. The NPI Number for Jessica Tamara Bala is 1154995967 and holds a License No. PT300184 (California).

The current practice location address for Jessica Tamara Bala is 700 Garden View Ct Ste 103, Encinitas, CA and can be reached out via phone at 760-632-6942 and via fax at 760-632-6819.

Location: 700 Garden View Ct Ste 103, Encinitas, CA, 92057-5108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154995967
Provider Name
Jessica Tamara Bala
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
700 Garden View Ct Ste 103, Encinitas, CA, 92057-5108
Phone Number
760-632-6942
Fax Number
760-632-6819
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300184 01 CA PT LICENSE
institution
Provider Business Practice Location Address Details
Address
700 Garden View Ct Ste 103
City
Encinitas
State
California
Zip
92024-2478
Phone Number
760-632-6942
Fax Number
760-632-6819
person
Provider Business Mailing Address Details
Address
700 Garden View Ct Ste 103
City
Encinitas
State
California
Zip
92024-2478
Phone Number
760-632-6942
Fax Number
760-632-6819
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT300184 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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