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JASON W BALLS OTR/L

Individual Provider (NPI-1) Active

Occupational Therapist

Provider Information

NPI Number
1124448675
Provider Type
Individual Provider (NPI-1)
Credentials
OTR/L
Status
Active

Contact & Location

Address
586 W 30 S, BLACKFOOT, ID, 832216130
Phone
(208) 244-5122

Specialties & Taxonomies

Occupational Therapist Primary License: ID #OT-1903

All Addresses

MAILING

586 W 30 S

BLACKFOOT, ID, 832216130

(208) 244-5122

LOCATION

586 W 30 S

BLACKFOOT, ID, 832216130

(208) 244-5122