Individual
EDYN BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1503 W RAYMOND RD, RAYMOND, NE 68428-4154
(402) 318-9663
Mailing address
1503 W RAYMOND RD, RAYMOND, NE 68428-4154
(402) 318-9663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2609
NE
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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