Individual
DAWN BALLIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 GREAT OAKS TRL, WADSWORTH, OH 44281-8799
(330) 765-9173
Mailing address
3006 FAIR OAKS DR, NORTON, OH 44203-6335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05853
OH
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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