Individual
MS. MARY GERALDINE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
400 PAUL W BRYANT DR E, TUSCALOOSA, AL 35401-2009
(205) 345-0192
(205) 345-7341
Mailing address
PO BOX 2447, TUSCALOOSA, AL 35403-2447
(850) 932-9393
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3203
AL
225XH1200X
Hand Occupational Therapist
OT4686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206106
—
AL
01
—
512-02180
BCBS
AL
Enumeration date
03/16/2007
Last updated
03/17/2018
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