Individual ProviderJennifer BalliewOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404(210) 617-5300(817) 343-9972PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Balliew does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1902267990Provider TypeIndividualFull NameBalliew, JenniferGenderFemaleSole ProprietorNoEnumeration Date3/17/2016Last Updated3/17/2016Contact InformationPractice LocationPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404Phone(210) 617-5300FaxUnlisted FaxMailing LocationMailing Address7626 Callaghan Rd Apt 3108, San Antonio, TX 78229-2789Phone(817) 343-9972FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense117467Texas