Individual
JULIE SUZANNE BALLAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
110 CHEROKEE PL, CARTERSVILLE, GA 30121-2954
(770) 386-6300
Mailing address
950 E MAIN ST APT 320, CARTERSVILLE, GA 30121-2273
(989) 287-1460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6056
TN
225X00000X
Occupational Therapist
Primary
OT007423
GA
Other
Enumeration date
11/13/2018
Last updated
01/12/2025
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