Individual
HEATHER BALLAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16815 S DESERT FOOTHILLS PKWY, SUITE 126, PHOENIX, AZ 85048-8401
(480) 704-5954
(480) 704-5807
Mailing address
16815 S DESERT FOOTHILLS PKWY, SUITE 126, PHOENIX, AZ 85048-8401
(480) 704-5954
(480) 704-5807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0157-P
AZ
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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