Organization
EVOLVE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASIE A BALLARD MS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(812) 228-6896
Entity
Organization
Contact information
Practice address
2480 US 41 N STE B, HENDERSON, KY 42420-2376
(812) 228-6896
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/21/2021
Last updated
07/03/2023
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