Individual
MS. CANDACE M. BALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
4700 LAKE VILLA DR, METAIRIE, LA 70002-1324
(504) 296-2366
Mailing address
4700 LAKE VILLA DR, METAIRIE, LA 70002-1324
(504) 296-2366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10757
LA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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