Individual
EMILY BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6264 STATE ROUTE 88, SODUS, NY 14551-9772
(315) 483-5282
Mailing address
396 BROWNCROFT BLVD APT 2, ROCHESTER, NY 14609-7815
(585) 645-2013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028211-01
NY
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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