Individual
JODI BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3800
Mailing address
2405 SUPERIOR ST, RACINE, WI 53402-4340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4633-27
WI
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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