MISS Lyn Jonson Ballener

NPI #1710314984 in NY, New York

Provider Information

NPI Number: 1710314984
Entity Type: Individual
Name: MISS Lyn Jonson Ballener
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 3, 2013
Last Updated: Oct 3, 2013

Practice Location

Address: 824 55TH STREET (BET. 8TH & 9TH AVE.)
Address 2: BROOKLYN
City: NY
State: New York
ZIP Code: 11220
Phone: (718) 686-1733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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