JENA RAE BALLARD COTA/L
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1548603905- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA/L
- Status
- Active
Contact & Location
- Address
- 529 WESTPORT RD, ELIZABETHTOWN, KY, 427012923
- Phone
- (270) 763-8225
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: KY #A5423