Individual
MRS. BETH ANN BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
572 SAM MARTIN RD, DANDRIDGE, TN 37725-4120
(865) 382-4209
Mailing address
572 SAM MARTIN RD, DANDRIDGE, TN 37725-4120
(865) 382-4209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1216
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4107082
BCBS PROVIDER NUMBER
TN
05
—
5440690
—
TN
05
—
Q023565
—
TN
Enumeration date
02/15/2007
Last updated
12/13/2016
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