Individual
KELLY BALLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15204 W COLONIAL DR, WINTER GARDEN, FL 34787-6042
(407) 877-2394
Mailing address
5504 LEHIGH AVE APT 33, ORLANDO, FL 32807-1976
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18838
FL
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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