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Contact Information

TRACY C BALANGUE, OTD, OTR/L, CHT
6462 W 86TH PL
LOS ANGELES, CA90045-3745
 Phone: 310-666-2681
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TRACY C BALANGUE · (Female)

NPI # 1316042971
Status Active
Credentials OTD, OTR/L, CHT
Entity Individual
Enumeration date 09/14/2006
Last updated 11/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OT 6188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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