Individual
MRS. KELLY JOHNSON BALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1211 VIRGINIA ST, GREENSBORO, NC 27401-1313
(336) 275-0927
(336) 275-4834
Mailing address
401 LEAWOOD DR, GREENSBORO, NC 27410-4218
(434) 944-1034
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5446
NC
Other
Enumeration date
11/09/2022
Last updated
12/01/2025
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