Individual
MR. CALEB SANDERS BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L, CEAS I
Contact information
Practice address
2300 WESTINGHOUSE BLVD, 107, RALEIGH, NC 27604-2493
(919) 256-1400
(919) 256-1403
Mailing address
2800 CALLIOPE WAY APT 203, RALEIGH, NC 27616-6064
(270) 556-3441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8505
NC
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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