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Individual
MRS. SANDRA LEE BALL
Active
Individual
MRS. SANDRA LEE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1888
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15665
HEALTH PARTNERS
—
05
—
40718100
—
WI
01
—
6407138
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
7984053
AETNA
—
01
—
97G70BA
MN BCBS
MN
Enumeration date
09/21/2006
Last updated
07/09/2007
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