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Individual

MRS. MONICA KRISTEN BALL

Active
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Individual

MRS. MONICA KRISTEN BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
04500
MD
2083X0100X
Occupational Medicine Physician
934
WV
225X00000X
Occupational Therapist
Primary
OC006854L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225X00000X
PA
05
7501054000
WV
Enumeration date
01/16/2008
Last updated
07/26/2012
About Stedi
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