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Michael Ray Ballance, PT
Pediatric Physical Therapist in Lodi, California
NPI 1205400983

Michael Ray Ballance is a Pediatric Physical Therapist based in Herald, CA and is specialized in Pediatrics. Michael Ray Ballance practices in Lodi, CA and has the professional credentials of PT. The NPI Number for Michael Ray Ballance is 1205400983 and holds a License No. PT18492 (California).

The current practice location address for Michael Ray Ballance is 825 W Lockeford St, Lodi, CA and can be reached out via phone at 209-331-7471 and via fax at 209-331-7464.

Location: 825 W Lockeford St, Lodi, CA, 95638-9765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205400983
Provider Name
Michael Ray Ballance
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
825 W Lockeford St, Lodi, CA, 95638-9765
Phone Number
209-331-7471
Fax Number
209-331-7464
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
825 W Lockeford St
City
Lodi
State
California
Zip
95240-1633
Phone Number
209-331-7471
Fax Number
209-331-7464
person
Provider Business Mailing Address Details
Address
825 W Lockeford St
City
Lodi
State
California
Zip
95240-1633
Phone Number
209-331-7471
Fax Number
209-331-7464
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT18492 (California)
Definition
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 therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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