Individual
SHAUNDA LYNN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16222 MOCCASIN CIR, ABINGDON, VA 24210-4346
(330) 771-7138
Mailing address
16222 MOCCASIN CIR, ABINGDON, VA 24210-4346
(330) 771-7138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2916
TN
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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