MS. Cynthia Renee Ballentine, OTR

NPI #1356497119 in Ballwin, Missouri

Provider Information

NPI Number: 1356497119
Entity Type: Individual
Name: MS. Cynthia Renee Ballentine, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTR
Enumeration Date: Jan 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 811 NYKIEL CT
City: Ballwin
State: Missouri
ZIP Code: 63011-4244
Phone: (636) 527-5336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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