Individual
ELIZABETH HALEY BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 PACE ST, MCMINNVILLE, TN 37110-1246
(931) 668-2011
Mailing address
107 MURRAY ESTATES DR, MURRAY, KY 42071-4672
(270) 293-1309
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2443
STATE LICENSURE NUMBER
TN
Enumeration date
05/03/2015
Last updated
05/03/2015
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