Organization
BALLARD PEDIATRICS
Active
Organization
BALLARD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KASIE BALLARD MS, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(812) 228-6896
Entity
Organization
Contact information
Practice address
2480H US 41 N STE 80, HENDERSON, KY 42420-2359
(812) 228-6896
Mailing address
4101 RODENBERG AVE, EVANSVILLE, IN 47720-6230
(812) 228-6896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619228772
NPPES
—
Enumeration date
07/21/2022
Last updated
07/25/2022
Update your record
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