Individual
KATHI MARIE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
933 CEDAR RD, CHESAPEAKE, VA 23322-7415
(757) 941-4119
Mailing address
532 DEER NECK DR, CHESAPEAKE, VA 23323-7102
(757) 582-4270
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001238
VA
Other
Enumeration date
03/25/2014
Last updated
07/21/2022
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