Doctor Name: | CHRISTINA BALLENGER |
NPI Number: | 1700918463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1529 E Palmdale Blvd Suite 150 Palmdale, CA - 935502034 |
Business Phone Number: | 6615751800 |
Business Fax Number: | 6615372932 |
Mailing Address: | 1841 E Workman Ave Apt 41, WEST COVINA |
State: | CA |
Postal Code: | 917911427 |
Phone Number: | 6263155491 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |