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Individual

MRS. STEPHANIE H BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1240 ARBOR RD, WINSTON SALEM, NC 27104-1106
(336) 724-7921
Mailing address
1240 ARBOR RD, WINSTON SALEM, NC 27104-1106

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11071
NC

Other

Enumeration date
07/09/2017
Last updated
07/09/2017
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