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Individual

JENNIFER BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
10991 S SUNUP WAY, SOUTH JORDAN, UT 84009-7744
(801) 891-0406
Mailing address
10991 S SUNUP WAY, SOUTH JORDAN, UT 84009-7744

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT60184275
WA
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/19/2011
Last updated
03/17/2018
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