Individual
JOSEY DESLYNN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301 KIOWA ST, ARDMORE, OK 73401-2280
(580) 670-3117
Mailing address
1301 KIOWA ST, ARDMORE, OK 73401-2280
(580) 670-3117
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2367
OK
Other
Enumeration date
10/01/2021
Last updated
07/11/2024
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