Individual
JANET BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
Mailing address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1130
OK
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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