Individual
MRS. KASIE A BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4101 RODENBERG AVE, EVANSVILLE, IN 47720-6230
(812) 228-6896
Mailing address
4101 RODENBERG AVE, EVANSVILLE, IN 47720-6230
(812) 228-6896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
264002
KY
225X00000X
Occupational Therapist
Primary
31005330A
IN
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
09/28/2012
Last updated
07/03/2023
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